Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,905.46	Professional		$812.83	$1,023.29	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,120.11	Facility		$2,570.40	$4,786.30	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,621.81	Professional		$977.24	$1,202.26	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $933.25 / $954.99	Facility		$79.43	$933.25	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,819.70	Professional		$954.99	$1,230.27	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $33,884.42 / $33,884.42	Facility		$11,220.18	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $5,248.07	Facility		$933.25	$1,258.93	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,949.84	Professional		$891.25	$1,258.93	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,698.24	Facility		$891.25	$1,122.02	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,041.74	Professional		$977.24	$1,318.26	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,548.82	Professional		$776.25	$1,047.13	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25