Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $2,290.87	Facility		$302.00	$724.44	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $489.78	Professional		$302.00	$389.05	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $2,238.72	Facility		$323.59	$478.63	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $616.60 / $758.58	Professional		$263.03	$616.60	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $977.24	Facility		$331.13	$501.19	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $537.03	Professional		$309.03	$407.38	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $1,174.90	Facility		$309.03	$501.19	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $537.03	Professional		$263.03	$478.63	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $501.19	Facility		$181.97	$239.88	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $501.19	Professional		$213.80	$213.80	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $501.19	Professional		$28.18	$28.18	$501.19