Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $213.80	Professional		$91.20	$114.82	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $660.69 / $3,715.35	Facility		$229.09	$660.69	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $186.21	Professional		$102.33	$128.82	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Facility		$95.50	$95.50	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $208.93	Professional		$109.65	$141.25	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $19,498.45 / $19,498.45	Facility		$891.25	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,023.29	Professional		$1,000.00	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $3,715.35	Facility		$97.72	$154.88	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $229.09	Professional		$95.50	$141.25	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $199.53	Facility		$95.50	$128.82	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $223.87	Professional		$109.65	$147.91	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $177.83	Professional		$93.33	$123.03	$177.83