Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $1,000.00	Professional		$281.84	$371.54	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,691.53 / $3,981.07	Facility		$1,023.29	$2,691.53	$3,981.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $446.68	Professional		$346.74	$371.54	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,311.31	Professional		$2,754.23	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $4,073.80	Facility		$354.81	$707.95	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $1,000.00	Professional		$281.84	$363.08	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $1,000.00	Facility		$323.59	$478.63	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $660.69	Professional		$316.23	$416.87	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $407.38	Professional		$371.54	$407.38	$407.38