Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.28 / $760.28 / $821.10	Facility		$760.28	$760.28	$821.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.28 / $847.40 / $1,520.56	Professional		$760.28	$847.40	$1,520.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.43 / $826.43 / $826.43	Professional		$826.43	$826.43	$826.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,736.52 / $1,736.52 / $1,736.52	Facility		$1,736.52	$1,736.52	$1,736.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,391.64 / $10,872.75 / $10,872.75	Facility		$9,391.64	$10,872.75	$10,872.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,987.20 / $10,987.20 / $16,415.03	Professional		$10,987.20	$10,987.20	$16,415.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $1,242.84 / $1,736.52	Facility		$552.91	$1,242.84	$1,736.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $1,565.05 / $1,928.42	Professional		$559.16	$1,565.05	$1,928.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $1,276.32 / $1,736.52	Facility		$552.91	$1,276.32	$1,736.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
United Facility/Professional Professional Modifier Low / Median / High Price $713.72 / $1,055.83 / $1,290.43	Professional		$713.72	$1,055.83	$1,290.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,038.82 / $1,048.81 / $1,736.52	Professional		$1,038.82	$1,048.81	$1,736.52