Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $7,413.10	Facility		$524.81	$2,454.71	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $363.08	Professional		$125.89	$199.53	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $933.25	Facility		$134.90	$229.09	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $309.03	Professional		$138.04	$208.93	$309.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $398.11 / $398.11	Facility		$125.89	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $371.54	Professional		$154.88	$234.42	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,489.63 / $13,489.63	Facility		$2,187.76	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,949.84	Professional		$1,659.59	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $2,951.21	Facility		$138.04	$245.47	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $416.87	Professional		$131.83	$213.80	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $323.59	Facility		$131.83	$208.93	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $380.19	Professional		$158.49	$245.47	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $295.12	Professional		$128.82	$190.55	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78