Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $223.87	Professional		$128.82	$190.55	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $389.05	Professional		$316.23	$316.23	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,187.76 / $6,918.31	Facility		$204.17	$2,187.76	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $2,691.53	Professional		$177.83	$208.93	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $1,949.84	Facility		$128.82	$223.87	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $363.08	Professional		$123.03	$123.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,513.56	Professional		$1,445.44	$1,513.56	$1,513.56