Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,047.13 / $3,019.95	Facility		$407.38	$1,047.13	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $724.44	Professional		$363.08	$478.63	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $3,388.44	Facility		$812.83	$1,862.09	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $316.23 / $467.74	Professional		$5.01	$316.23	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $660.69	Facility		$575.44	$575.44	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,174.90 / $3,162.28	Facility		$562.34	$1,174.90	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $977.24	Professional		$309.03	$371.54	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,071.52	Facility		$436.52	$602.56	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $758.58	Professional		$346.74	$524.81	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $489.78	Professional		$436.52	$489.78	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $1,698.24	Facility		$457.09	$630.96	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $977.24	Professional		$323.59	$380.19	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $575.44	Facility		$208.93	$346.74	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $478.63	Professional		$245.47	$338.84	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $575.44	Professional		$223.87	$223.87	$575.44