Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.32 / $3,162.00 / $10,836.00	Facility		$613.32	$3,162.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $391.88 / $619.04	Professional		$278.14	$391.88	$619.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.01 / $467.11 / $811.22	Professional		$317.01	$467.11	$811.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $526.90	Facility		$297.22	$297.22	$526.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.46 / $497.50 / $756.61	Professional		$347.46	$497.50	$756.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,721.78 / $26,542.00 / $26,542.00	Facility		$1,721.78	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,506.23 / $3,641.92 / $4,308.00	Professional		$2,506.23	$3,641.92	$4,308.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.81 / $472.14 / $684.27	Facility		$327.81	$472.14	$684.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.36 / $632.94 / $919.31	Professional		$425.36	$632.94	$919.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.81 / $472.14 / $688.00	Facility		$327.81	$472.14	$688.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $518.60 / $863.76	Professional		$354.22	$518.60	$863.76
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.59 / $502.90 / $738.07	Professional		$372.59	$502.90	$738.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $421.83 / $476.55 / $667.09	Professional		$421.83	$476.55	$667.09