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 $177.83 / $208.93 / $316.23	Professional		$177.83	$208.93	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $281.84	Professional		$162.18	$204.17	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $416.87	Professional		$186.21	$251.19	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,238.72	Facility		$54.95	$56.23	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,548.82	Professional		$1,258.93	$1,548.82	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,000.00 / $6,918.31	Facility		$194.98	$1,000.00	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $309.03	Professional		$177.83	$239.88	$309.03
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 $173.78 / $229.09 / $436.52	Facility		$173.78	$229.09	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $407.38	Professional		$177.83	$251.19	$407.38
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 $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Professional		$165.96	$165.96	$181.97