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 $263.03 / $316.23 / $467.74	Professional		$263.03	$316.23	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $416.87	Professional		$239.88	$302.00	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $616.60	Professional		$275.42	$371.54	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,235.94	Facility		$54.95	$56.23	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,000.00 / $6,918.31	Facility		$288.40	$1,000.00	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $489.78	Professional		$263.03	$346.74	$489.78
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 $257.04 / $338.84 / $645.65	Facility		$257.04	$338.84	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $602.56	Professional		$257.04	$371.54	$602.56
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 $229.09 / $316.23 / $489.78	Professional		$229.09	$316.23	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Professional		$245.47	$245.47	$269.15