Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $2,344.23	Facility		$309.03	$741.31	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $537.03	Professional		$309.03	$389.05	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $2,290.87	Facility		$331.13	$524.81	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $776.25	Professional		$512.86	$616.60	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $1,023.29	Facility		$338.84	$512.86	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $616.60	Professional		$309.03	$416.87	$616.60
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 $316.23 / $512.86 / $1,174.90	Facility		$316.23	$512.86	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $537.03	Professional		$269.15	$489.78	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $309.03	Facility		$177.83	$239.88	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Professional		$213.80	$213.80	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $512.86	Professional		$162.18	$162.18	$512.86