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 $457.09 / $537.03 / $812.83	Professional		$457.09	$537.03	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $724.44	Professional		$426.58	$524.81	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,096.48	Professional		$489.78	$660.69	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,754.40	Facility		$54.95	$56.23	$5,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $5,128.61	Facility		$512.86	$954.99	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $794.33	Professional		$457.09	$616.60	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $676.08 / $1,122.02	Facility		$489.78	$676.08	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,023.29	Professional		$478.63	$645.65	$1,023.29
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 $398.11 / $537.03 / $851.14	Professional		$398.11	$537.03	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $467.74	Professional		$426.58	$426.58	$467.74