Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.34 / $657.34 / $709.92	Facility		$657.34	$657.34	$709.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.34 / $709.92 / $1,314.67	Professional		$657.34	$709.92	$1,314.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.98 / $893.98 / $893.98	Professional		$893.98	$893.98	$893.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,501.40 / $1,501.40 / $1,501.40	Facility		$1,501.40	$1,501.40	$1,501.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $843.35	Professional		$716.85	$716.85	$843.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,114.91 / $7,017.00 / $7,270.11	Facility		$3,114.91	$7,017.00	$7,270.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,615.67 / $7,615.67 / $10,932.23	Professional		$7,615.67	$7,615.67	$10,932.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $1,184.38 / $1,514.20	Facility		$456.43	$1,184.38	$1,514.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.43 / $1,381.29 / $1,514.20	Professional		$456.43	$1,381.29	$1,514.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $1,038.80 / $1,501.40	Facility		$456.43	$1,038.80	$1,501.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $1,123.02	Professional		$716.85	$716.85	$1,123.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,529.61 / $1,799.54	Facility		$1,529.61	$1,529.61	$1,799.54
United Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $830.06 / $1,037.58	Professional		$561.11	$830.06	$1,037.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,075.36 / $1,092.50 / $1,501.40	Professional		$1,075.36	$1,092.50	$1,501.40