Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.25 / $703.25 / $759.50	Facility		$703.25	$703.25	$759.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.25 / $759.50 / $1,406.49	Professional		$703.25	$759.50	$1,406.49
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 $764.43 / $764.43 / $764.43	Professional		$764.43	$764.43	$764.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,606.25 / $1,606.25 / $1,606.25	Facility		$1,606.25	$1,606.25	$1,606.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $787.74	Professional		$787.74	$787.74	$787.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,755.74 / $8,140.74 / $8,140.74	Facility		$7,755.74	$8,140.74	$8,140.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,729.28 / $8,729.28 / $13,639.50	Professional		$8,729.28	$8,729.28	$13,639.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $1,119.40 / $1,606.25	Facility		$477.68	$1,119.40	$1,606.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $591.10 / $1,403.83 / $1,635.82	Professional		$591.10	$1,403.83	$1,635.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $1,073.25 / $1,606.25	Facility		$477.68	$1,073.25	$1,606.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $1,360.15	Professional		$787.74	$787.74	$1,360.15
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.15 / $1,114.83	Professional		$616.60	$912.15	$1,114.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $897.46 / $901.91 / $1,606.25	Professional		$897.46	$901.91	$1,606.25