Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,466.84 / $14,125.38	Facility		$1,202.26	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,344.23	Professional		$933.25	$1,071.52	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,584.89	Professional		$812.83	$1,096.48	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $891.25 / $912.01	Facility		$79.43	$891.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,819.70	Professional		$954.99	$1,258.93	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $10,000.00	Professional		$8,709.64	$8,709.64	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $7,585.78	Facility		$954.99	$1,348.96	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,995.26	Professional		$954.99	$1,288.25	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,659.59	Facility		$912.01	$1,122.02	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,862.09	Professional		$977.24	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,513.56	Professional		$794.33	$1,047.13	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96