Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.90 / $566.90 / $612.25	Facility		$566.90	$566.90	$612.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.90 / $612.25 / $1,133.79	Professional		$566.90	$612.25	$1,133.79
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 $616.22 / $616.22 / $770.98	Professional		$616.22	$616.22	$770.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,294.82 / $1,294.82 / $1,294.82	Facility		$1,294.82	$1,294.82	$1,294.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $809.08	Professional		$687.72	$687.72	$809.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,928.30 / $6,150.40 / $6,150.40	Facility		$5,928.30	$6,150.40	$6,150.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,286.86 / $8,286.86 / $12,948.23	Professional		$8,286.86	$8,286.86	$12,948.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $972.09 / $1,294.82	Facility		$417.02	$972.09	$1,294.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.73 / $1,191.23 / $1,294.82	Professional		$421.73	$1,191.23	$1,294.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $865.16 / $1,294.82	Facility		$417.02	$865.16	$1,294.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $833.35	Professional		$687.72	$687.72	$833.35
United Facility/Professional Professional Modifier Low / Median / High Price $538.30 / $796.34 / $973.28	Professional		$538.30	$796.34	$973.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $783.50 / $1,084.80 / $1,294.82	Professional		$783.50	$1,084.80	$1,294.82