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 $645.65 / $776.25 / $1,348.96	Professional		$645.65	$776.25	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $7,079.46	Facility		$1,949.84	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,230.27	Professional		$630.96	$812.83	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $707.95 / $724.44	Facility		$79.43	$707.95	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,445.44	Professional		$724.44	$933.25	$1,445.44
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 $5,754.40 / $6,760.83 / $6,760.83	Professional		$5,754.40	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $4,677.35	Facility		$707.95	$977.24	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,445.44	Professional		$660.69	$933.25	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $1,258.93	Facility		$660.69	$831.76	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,513.56	Professional		$724.44	$977.24	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,174.90	Professional		$616.60	$776.25	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95