Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.57 / $1,500.00 / $7,094.93	Facility		$916.57	$1,500.00	$7,094.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.57 / $989.90 / $1,833.14	Professional		$916.57	$989.90	$1,833.14
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 $996.31 / $996.31 / $1,246.54	Professional		$996.31	$996.31	$1,246.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,093.50 / $2,093.50 / $2,093.50	Facility		$2,093.50	$2,093.50	$2,093.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,162.68	Professional		$988.28	$988.28	$1,162.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,498.40 / $9,699.25 / $9,699.25	Facility		$3,498.40	$9,699.25	$9,699.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,504.91 / $10,504.91 / $15,243.45	Professional		$10,504.91	$10,504.91	$15,243.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,571.69 / $2,093.50	Facility		$599.29	$1,571.69	$2,093.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $599.29 / $1,926.02 / $2,093.50	Professional		$599.29	$1,926.02	$2,093.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,257.34 / $2,093.50	Facility		$599.29	$1,257.34	$2,093.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,197.56	Professional		$988.28	$988.28	$1,197.56
United Facility/Professional Professional Modifier Low / Median / High Price $773.58 / $1,144.36 / $1,398.65	Professional		$773.58	$1,144.36	$1,398.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,125.93 / $1,702.59 / $2,093.50	Professional		$1,125.93	$1,702.59	$2,093.50