Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,513.56	Professional		$758.58	$912.01	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $7,244.36	Facility		$2,089.30	$3,715.35	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,949.84	Professional		$870.96	$1,047.13	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $831.76	Facility		$79.43	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,698.24	Professional		$870.96	$1,122.02	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $45,708.82 / $45,708.82	Facility		$6,760.83	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $4,677.35	Facility		$812.83	$1,148.15	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,698.24	Professional		$794.33	$1,096.48	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,513.56	Facility		$794.33	$1,023.29	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,737.80	Professional		$870.96	$1,148.15	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,380.38	Professional		$724.44	$977.24	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83