Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,715.35 / $12,022.64	Facility		$691.83	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $229.09	Professional		$85.11	$123.03	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $467.74	Facility		$64.57	$114.82	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $151.36	Facility		$85.11	$85.11	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $234.42	Professional		$104.71	$151.36	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,230.27	Professional		$1,047.13	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $2,511.89	Facility		$91.20	$151.36	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $269.15	Professional		$89.13	$138.04	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $223.87	Facility		$89.13	$138.04	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $239.88	Professional		$107.15	$154.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $186.21	Professional		$87.10	$125.89	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36