Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $575.44	Professional		$204.17	$316.23	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $512.86 / $1,148.15	Facility		$223.87	$512.86	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $436.52	Professional		$234.42	$338.84	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $389.05	Facility		$218.78	$218.78	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $562.34	Professional		$239.88	$354.81	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $45,708.82 / $45,708.82	Facility		$1,584.89	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,162.28	Professional		$2,691.53	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $398.11 / $3,890.45	Facility		$223.87	$398.11	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $724.44	Professional		$223.87	$354.81	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $524.81	Facility		$218.78	$323.59	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $588.84	Professional		$245.47	$363.08	$588.84
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 $199.53 / $295.12 / $457.09	Professional		$199.53	$295.12	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05