Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,630.78	Facility		$1,737.80	$1,737.80	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $173.78	Professional		$70.79	$107.15	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $173.78	Facility		$64.57	$64.57	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $169.82	Professional		$67.61	$107.15	$169.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $234.42	Professional		$83.18	$128.82	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $436.52 / $436.52	Facility		$56.23	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $933.25	Professional		$812.83	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $194.98	Facility		$69.18	$109.65	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $190.55	Professional		$72.44	$109.65	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $204.17	Facility		$69.18	$109.65	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $204.17	Professional		$85.11	$131.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $186.21	Professional		$74.13	$114.82	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49