Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,022.64	Facility		$1,000.00	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $891.25 / $6,165.95	Professional		$173.78	$891.25	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $2,570.40	Facility		$676.08	$1,230.27	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,548.13 / $8,912.51	Facility		$977.24	$3,548.13	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,778.28 / $8,709.64	Professional		$234.42	$1,778.28	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $537.03	Facility		$398.11	$501.19	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $4,073.80	Facility		$416.87	$1,621.81	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08