Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.54 / $980.54 / $1,058.98	Facility		$980.54	$980.54	$1,058.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.43 / $1,058.98 / $1,961.08	Professional		$906.43	$1,058.98	$1,961.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.53 / $1,333.53 / $1,333.53	Professional		$1,333.53	$1,333.53	$1,333.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,239.60 / $2,239.60 / $2,239.60	Facility		$2,239.60	$2,239.60	$2,239.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,028.82 / $9,894.54 / $9,894.54	Facility		$4,028.82	$9,894.54	$9,894.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,189.70 / $12,189.70 / $19,046.40	Professional		$12,189.70	$12,189.70	$19,046.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $1,681.42 / $2,239.60	Facility		$613.44	$1,681.42	$2,239.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.36 / $2,015.64 / $2,459.58	Professional		$620.36	$2,015.64	$2,459.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $1,551.30 / $2,239.60	Facility		$613.44	$1,551.30	$2,239.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,621.09	Professional		$1,132.45	$1,132.45	$1,621.09
United Facility/Professional Professional Modifier Low / Median / High Price $791.84 / $1,171.39 / $1,464.24	Professional		$791.84	$1,171.39	$1,464.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,152.52 / $1,157.24 / $2,239.60	Professional		$1,152.52	$1,157.24	$2,239.60