Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.72 / $805.72 / $1,611.44	Facility		$805.72	$805.72	$1,611.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.72 / $870.18 / $1,611.44	Professional		$805.72	$870.18	$1,611.44
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 $875.82 / $875.82 / $875.82	Professional		$875.82	$875.82	$875.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,840.31 / $1,840.31 / $1,840.31	Facility		$1,840.31	$1,840.31	$1,840.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $1,022.07	Professional		$868.76	$868.76	$1,022.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.96 / $7,863.62 / $8,486.59	Facility		$3,715.96	$7,863.62	$8,486.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,234.45 / $9,234.45 / $13,399.88	Professional		$9,234.45	$9,234.45	$13,399.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $952.32 / $1,451.75 / $1,840.31	Facility		$952.32	$1,451.75	$1,840.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.01 / $1,693.09 / $1,840.31	Professional		$1,198.01	$1,693.09	$1,840.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,231.01 / $1,840.31	Facility		$1,022.07	$1,231.01	$1,840.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $1,325.09	Professional		$868.76	$868.76	$1,325.09
United Facility/Professional Professional Modifier Low / Median / High Price $680.02 / $1,005.97 / $1,251.24	Professional		$680.02	$1,005.97	$1,251.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,303.27 / $1,442.58 / $1,840.31	Professional		$1,303.27	$1,442.58	$1,840.31