Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,071.52 / $3,235.94	Facility		$426.58	$1,071.52	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $776.25	Professional		$426.58	$562.34	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $69.18 / $117.49	Facility		$33.88	$69.18	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $3,162.28	Facility		$467.74	$549.54	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,096.48	Professional		$724.44	$870.96	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,412.54	Facility		$426.58	$707.95	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $831.76	Professional		$436.52	$602.56	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,778.28	Facility		$426.58	$707.95	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $758.58	Professional		$79.43	$676.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $707.95	Facility		$257.04	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $707.95	Professional		$302.00	$302.00	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71