Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $812.83	Facility		$758.58	$758.58	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional		$676.08	$851.14	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,737.80 / $1,737.80	Facility		$79.43	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,302.69 / $12,302.69	Professional		$9,549.93	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,659.59 / $2,691.53	Facility		$501.19	$1,659.59	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,737.80	Professional		$707.95	$933.25	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Professional		$1,202.26	$1,202.26	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $2,454.71	Facility		$691.83	$1,479.11	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $1,778.28	Facility		$575.44	$1,148.15	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,174.90	Professional		$645.65	$954.99	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80