Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,071.52 / $2,754.23	Facility		$380.19	$1,071.52	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $645.65	Professional		$346.74	$467.74	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $316.23 / $316.23	Professional		$5.01	$316.23	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,258.93 / $2,511.89	Facility		$407.38	$1,258.93	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $1,000.00	Professional		$257.04	$467.74	$1,000.00
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 $257.04 / $562.34 / $1,071.52	Facility		$257.04	$562.34	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $616.60	Professional		$346.74	$489.78	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $1,621.81	Facility		$257.04	$575.44	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $954.99	Professional		$263.03	$446.68	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $575.44	Facility		$208.93	$295.12	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $346.74	Professional		$245.47	$245.47	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $575.44	Professional		$223.87	$223.87	$575.44