Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $6,918.31	Facility		$707.95	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $724.44	Professional		$239.88	$371.54	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $812.83 / $1,737.80	Facility		$467.74	$812.83	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $630.96	Professional		$263.03	$398.11	$630.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $467.74	Facility		$263.03	$263.03	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $691.83	Professional		$295.12	$446.68	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $28,840.32 / $28,840.32	Facility		$2,238.72	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $3,715.35	Professional		$3,090.30	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $3,715.35	Facility		$269.15	$489.78	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $870.96	Professional		$251.19	$426.58	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $630.96	Facility		$257.04	$398.11	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $724.44	Professional		$302.00	$457.09	$724.44
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 $245.47 / $363.08 / $562.34	Professional		$245.47	$363.08	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09