Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $3,801.89	Facility		$524.81	$1,258.93	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $891.25	Professional		$346.74	$630.96	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $4,168.69	Facility		$851.14	$2,511.89	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $436.52 / $645.65	Professional		$5.01	$436.52	$645.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $794.33 / $794.33	Facility		$380.19	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $3,548.13	Facility		$389.05	$1,202.26	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $1,174.90	Professional		$151.36	$309.03	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $1,445.44	Facility		$478.63	$776.25	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $851.14	Professional		$426.58	$660.69	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $676.08	Professional		$602.56	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $1,819.70	Facility		$436.52	$794.33	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $407.38 / $977.24	Professional		$151.36	$407.38	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $288.40 / $794.33	Facility		$223.87	$288.40	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $478.63	Professional		$190.55	$338.84	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $794.33	Professional		$316.23	$316.23	$794.33