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 $426.58 / $524.81 / $912.01	Professional		$426.58	$524.81	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,495.41	Facility		$1,548.82	$2,691.53	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $851.14	Professional		$426.58	$562.34	$851.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $575.44	Facility		$436.52	$436.52	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $954.99	Professional		$501.19	$645.65	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $4,786.30	Professional		$4,168.69	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $3,890.45	Facility		$467.74	$660.69	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,071.52	Professional		$446.68	$676.08	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $891.25	Facility		$436.52	$575.44	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,047.13	Professional		$512.86	$676.08	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $794.33	Professional		$416.87	$549.54	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34