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 / $12,302.69	Facility		$977.24	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $977.24	Professional		$549.54	$645.65	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,047.13 / $6,165.95	Facility		$602.56	$1,047.13	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $870.96	Professional		$512.86	$645.65	$870.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $16,595.87 / $18,620.87	Facility		$15,488.17	$16,595.87	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,258.93	Professional		$588.84	$776.25	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,918.31	Facility		$54.95	$56.23	$6,918.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $4,786.30	Professional		$3,981.07	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,454.71 / $8,511.38	Facility		$691.83	$2,454.71	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $912.01	Professional		$562.34	$707.95	$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 $512.86 / $707.95 / $17,378.01	Facility		$512.86	$707.95	$17,378.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,230.27	Professional		$562.34	$776.25	$1,230.27
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 $478.63 / $645.65 / $1,000.00	Professional		$478.63	$645.65	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03