Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $169.82	Professional		$44.67	$109.65	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $4,677.35	Facility		$1,148.15	$2,630.27	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $173.78	Professional		$42.66	$87.10	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $223.87	Professional		$50.12	$97.72	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,548.13	Facility		$54.95	$56.23	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,148.15	Professional		$1,000.00	$1,000.00	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $218.78 / $3,890.45	Facility		$52.48	$218.78	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $213.80	Professional		$44.67	$112.20	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $269.15	Facility		$47.86	$123.03	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $218.78	Professional		$47.86	$93.33	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $6,025.60	Facility		$436.52	$1,819.70	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $95.50 / $204.17	Professional		$40.74	$95.50	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Professional		$112.20	$112.20	$117.49