Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.56 / $911.85 / $2,399.32	Facility		$363.56	$911.85	$2,399.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $361.61 / $748.75	Professional		$273.64	$361.61	$748.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.28 / $1,578.37 / $2,951.51	Facility		$603.28	$1,578.37	$2,951.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $268.76 / $684.12	Professional		$5.00	$268.76	$684.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $488.66 / $488.66	Facility		$80.00	$488.66	$488.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.73 / $1,081.66 / $2,285.08	Facility		$559.73	$1,081.66	$2,285.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.82 / $363.11 / $1,076.73	Professional		$276.82	$363.11	$1,076.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.83 / $2,332.80 / $2,332.80	Facility		$1,247.83	$2,332.80	$2,332.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,716.07 / $4,017.97 / $4,017.97	Professional		$3,716.07	$4,017.97	$4,017.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.32 / $635.26 / $1,194.76	Facility		$391.32	$635.26	$1,194.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $488.66 / $677.76	Professional		$488.66	$488.66	$677.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.13 / $781.86 / $1,893.68	Facility		$392.13	$781.86	$1,893.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.97 / $484.89 / $950.16	Professional		$282.97	$484.89	$950.16
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $279.99 / $404.32	Professional		$205.24	$279.99	$404.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $253.13 / $488.66	Professional		$241.31	$253.13	$488.66