Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.88 / $741.88 / $801.23	Facility		$741.88	$741.88	$801.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.62 / $801.23 / $1,483.76	Professional		$725.62	$801.23	$1,483.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.43 / $1,008.96 / $1,008.96	Professional		$806.43	$1,008.96	$1,008.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,694.49 / $1,694.49 / $1,694.49	Facility		$1,694.49	$1,694.49	$1,694.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $908.63	Facility		$908.63	$908.63	$908.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $908.63	Professional		$663.30	$663.30	$908.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,407.64 / $7,783.07 / $9,209.54	Facility		$3,407.64	$7,783.07	$9,209.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,825.29 / $10,061.10 / $11,070.83	Professional		$9,825.29	$10,061.10	$11,070.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $1,272.15 / $1,694.49	Facility		$468.34	$1,272.15	$1,694.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.62 / $1,525.04 / $1,694.49	Professional		$473.62	$1,525.04	$1,694.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $1,060.89 / $1,694.49	Facility		$468.34	$1,060.89	$1,694.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $1,404.36	Professional		$663.30	$663.30	$1,404.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,648.02 / $1,648.02 / $1,938.85	Facility		$1,648.02	$1,648.02	$1,938.85
United Facility/Professional Professional Modifier Low / Median / High Price $604.54 / $894.32 / $1,110.14	Professional		$604.54	$894.32	$1,110.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $879.91 / $888.37 / $1,694.49	Professional		$879.91	$888.37	$1,694.49