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 / $13,489.63	Facility		$977.24	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $128.82	Professional		$67.61	$79.43	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $407.38	Facility		$72.44	$120.23	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $104.71	Professional		$61.66	$85.11	$104.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $144.54	Professional		$69.18	$93.33	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Professional		$630.96	$630.96	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $5,248.07	Facility		$69.18	$144.54	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $125.89	Professional		$69.18	$85.11	$125.89
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 $63.10 / $93.33 / $165.96	Facility		$63.10	$93.33	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $138.04	Professional		$69.18	$93.33	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,511.89 / $10,471.29	Facility		$436.52	$2,511.89	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $120.23	Professional		$56.23	$75.86	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $58.88	Professional		$56.23	$56.23	$58.88