Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,265.80 / $15,488.17	Facility		$1,000.00	$4,265.80	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $724.44	Professional		$407.38	$478.63	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $660.69	Professional		$398.11	$616.60	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $912.01	Professional		$436.52	$575.44	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,630.27	Facility		$54.95	$56.23	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $3,548.13	Professional		$2,951.21	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,548.13 / $12,589.25	Facility		$602.56	$3,548.13	$12,589.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $660.69	Professional		$416.87	$524.81	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $1,000.00	Facility		$380.19	$512.86	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $912.01	Professional		$416.87	$562.34	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $741.31	Professional		$354.81	$467.74	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Professional		$363.08	$363.08	$398.11