Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.36 / $752.36 / $812.54	Facility		$752.36	$752.36	$812.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.36 / $812.54 / $1,504.71	Professional		$752.36	$812.54	$1,504.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.20 / $1,023.20 / $1,023.20	Professional		$1,023.20	$1,023.20	$1,023.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,718.43 / $1,718.43 / $1,718.43	Facility		$1,718.43	$1,718.43	$1,718.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,260.83	Professional		$920.41	$920.41	$1,260.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,127.52 / $9,394.98 / $9,394.98	Facility		$8,127.52	$9,394.98	$9,394.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,493.87 / $9,493.87 / $12,340.05	Professional		$9,493.87	$9,493.87	$12,340.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $1,290.10 / $1,718.43	Facility		$497.15	$1,290.10	$1,718.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.76 / $1,546.59 / $1,718.43	Professional		$502.76	$1,546.59	$1,718.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $1,260.83 / $1,718.43	Facility		$497.15	$1,260.83	$1,718.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,403.47	Professional		$920.41	$920.41	$1,403.47
United Facility/Professional Professional Modifier Low / Median / High Price $641.74 / $949.33 / $1,178.43	Professional		$641.74	$949.33	$1,178.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $934.03 / $943.02 / $1,718.43	Professional		$934.03	$943.02	$1,718.43