Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,122.02 / $3,548.13	Facility		$467.74	$1,122.02	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $812.83	Professional		$467.74	$602.56	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $3,467.37	Facility		$501.19	$741.31	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,174.90	Professional		$776.25	$933.25	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $1,445.44	Facility		$478.63	$776.25	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $1,778.28	Facility		$478.63	$776.25	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $812.83	Professional		$407.38	$741.31	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $776.25	Facility		$275.42	$363.08	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $776.25	Professional		$323.59	$323.59	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25