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 $323.59 / $380.19 / $588.84	Professional		$323.59	$380.19	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $389.05	Professional		$151.36	$302.00	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $524.81	Professional		$309.03	$416.87	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,754.23	Facility		$54.95	$56.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $4,677.35	Professional		$3,715.35	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $6,918.31	Facility		$363.08	$977.24	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $954.99	Professional		$323.59	$380.19	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $446.68	Professional		$64.57	$70.79	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $812.83	Facility		$295.12	$416.87	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $512.86	Professional		$295.12	$416.87	$512.86
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 $223.87 / $295.12 / $467.74	Professional		$223.87	$295.12	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $537.03	Professional		$512.86	$512.86	$537.03