Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,380.38 / $4,365.16	Facility		$616.60	$1,380.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,047.13	Professional		$575.44	$758.58	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,698.24 / $4,265.80	Facility		$616.60	$1,698.24	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,445.44	Professional		$501.19	$1,096.48	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,778.28	Facility		$660.69	$954.99	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,148.15	Professional		$588.84	$776.25	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $2,344.23	Facility		$630.96	$954.99	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,000.00	Professional		$501.19	$851.14	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $446.68 / $954.99	Facility		$338.84	$446.68	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $954.99	Professional		$398.11	$398.11	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $954.99	Professional		$371.54	$371.54	$954.99