Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.65 / $505.65 / $546.10	Facility		$505.65	$505.65	$546.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.83 / $546.10 / $1,011.29	Professional		$479.83	$546.10	$1,011.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.68 / $687.68 / $687.68	Professional		$687.68	$687.68	$687.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,154.92 / $1,154.92 / $1,154.92	Facility		$1,154.92	$1,154.92	$1,154.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $765.11	Professional		$558.53	$558.53	$765.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,337.26 / $6,358.45 / $6,358.45	Facility		$5,337.26	$6,358.45	$6,358.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,425.38 / $6,425.38 / $8,269.50	Professional		$6,425.38	$6,425.38	$8,269.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $867.06 / $1,154.92	Facility		$323.35	$867.06	$1,154.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $1,039.43 / $1,177.83	Professional		$327.00	$1,039.43	$1,177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $765.11 / $1,154.92	Facility		$323.35	$765.11	$1,154.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $979.33	Professional		$558.53	$558.53	$979.33
United Facility/Professional Professional Modifier Low / Median / High Price $417.39 / $617.45 / $766.46	Professional		$417.39	$617.45	$766.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.98 / $607.51 / $1,154.92	Professional		$602.98	$607.51	$1,154.92