Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.13 / $703.13 / $759.38	Facility		$703.13	$703.13	$759.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.13 / $759.38 / $1,406.25	Professional		$703.13	$759.38	$1,406.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.25 / $956.25 / $956.25	Professional		$956.25	$956.25	$956.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,605.97 / $1,605.97 / $1,605.97	Facility		$1,605.97	$1,605.97	$1,605.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $891.71	Professional		$650.95	$650.95	$891.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,683.72 / $7,438.91 / $7,438.91	Facility		$2,683.72	$7,438.91	$7,438.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,042.55 / $8,042.55 / $11,693.78	Professional		$8,042.55	$8,042.55	$11,693.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $1,247.34 / $1,605.97	Facility		$482.60	$1,247.34	$1,605.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $1,477.49 / $1,605.97	Professional		$482.60	$1,477.49	$1,605.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $1,205.69 / $1,605.97	Facility		$482.60	$1,205.69	$1,605.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $1,296.44	Professional		$650.95	$650.95	$1,296.44
United Facility/Professional Professional Modifier Low / Median / High Price $593.29 / $877.67 / $1,072.68	Professional		$593.29	$877.67	$1,072.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $863.52 / $871.83 / $1,605.97	Professional		$863.52	$871.83	$1,605.97