Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,202.26 / $3,801.89	Facility		$501.19	$1,202.26	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $933.25	Professional		$501.19	$660.69	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $3,715.35	Facility		$549.54	$812.83	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,288.25	Professional		$851.14	$1,023.29	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,584.89	Facility		$549.54	$831.76	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,000.00	Professional		$524.81	$707.95	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,949.84	Facility		$524.81	$831.76	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $891.25	Professional		$446.68	$794.33	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $831.76	Facility		$302.00	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $831.76	Professional		$354.81	$354.81	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $831.76	Professional		$177.83	$177.83	$831.76