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 $489.78 / $616.60 / $1,096.48	Professional		$489.78	$616.60	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $4,677.35	Facility		$1,380.38	$2,290.87	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,023.29	Professional		$588.84	$741.31	$1,023.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $575.44 / $575.44	Facility		$79.43	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,096.48	Professional		$575.44	$724.44	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $45,708.82 / $45,708.82	Facility		$3,981.07	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $5,495.41	Professional		$4,570.88	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $4,677.35	Facility		$575.44	$812.83	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,096.48	Professional		$524.81	$758.58	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $1,000.00	Facility		$537.03	$660.69	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,174.90	Professional		$575.44	$776.25	$1,174.90
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 $478.63 / $630.96 / $912.01	Professional		$478.63	$630.96	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34