Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $812.83	Facility		$758.58	$758.58	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,513.56	Professional		$758.58	$954.99	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,778.28 / $1,778.28	Facility		$79.43	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional		$1,071.52	$1,071.52	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $16,595.87	Professional		$10,964.78	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $2,398.83	Facility		$776.25	$1,513.56	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,949.84	Professional		$758.58	$1,023.29	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Professional		$977.24	$977.24	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,479.11 / $2,454.71	Facility		$794.33	$1,479.11	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional		$1,071.52	$1,071.52	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $1,995.26	Facility		$645.65	$1,202.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,318.26	Professional		$707.95	$1,071.52	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28