Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $707.95	Professional		$398.11	$457.09	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $616.60	Professional		$371.54	$398.11	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $891.25	Professional		$426.58	$575.44	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,511.89	Facility		$54.95	$56.23	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $6,918.31	Facility		$436.52	$1,071.52	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $676.08	Professional		$407.38	$524.81	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $977.24	Facility		$398.11	$549.54	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $870.96	Professional		$398.11	$562.34	$870.96
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 $346.74 / $467.74 / $724.44	Professional		$346.74	$467.74	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $407.38	Professional		$363.08	$363.08	$407.38