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 $134.90 / $162.18 / $309.03	Professional		$134.90	$162.18	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $389.05	Professional		$147.91	$190.55	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Facility		$144.54	$144.54	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $309.03	Professional		$162.18	$208.93	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $19,498.45 / $19,498.45	Facility		$1,000.00	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $3,715.35	Facility		$144.54	$234.42	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $338.84	Professional		$141.25	$208.93	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $281.84	Facility		$141.25	$190.55	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $331.13	Professional		$162.18	$218.78	$331.13
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 $138.04 / $181.97 / $263.03	Professional		$138.04	$181.97	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97