Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $2,454.71	Facility		$354.81	$776.25	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $588.84	Professional		$323.59	$426.58	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $1,202.26 / $2,754.23	Facility		$40.74	$1,202.26	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $977.24 / $2,398.83	Facility		$354.81	$977.24	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $776.25	Professional		$288.40	$549.54	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $1,000.00	Facility		$380.19	$537.03	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $616.60	Professional		$302.00	$436.52	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,230.27	Facility		$338.84	$537.03	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $575.44	Professional		$288.40	$489.78	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $229.09 / $537.03	Facility		$190.55	$229.09	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $537.03	Professional		$229.09	$229.09	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $537.03	Professional		$208.93	$208.93	$537.03