Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $870.96	Professional		$489.78	$588.84	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $9,120.11	Facility		$2,630.27	$4,570.88	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $831.76	Professional		$457.09	$575.44	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,122.02	Professional		$512.86	$707.95	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $4,265.80	Professional		$3,548.13	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,995.26 / $7,943.28	Facility		$549.54	$1,995.26	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $912.01	Professional		$489.78	$645.65	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,202.26	Facility		$467.74	$616.60	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,096.48	Professional		$478.63	$707.95	$1,096.48
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 $426.58 / $588.84 / $912.01	Professional		$426.58	$588.84	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $478.63	Professional		$436.52	$436.52	$478.63