Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $4,466.84	Facility		$1,584.89	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $2,344.23	Professional		$24.55	$26.92	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $380.19 / $676.08	Facility		$165.96	$380.19	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $416.87	Facility		$114.82	$141.25	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,412.54	Professional		$338.84	$338.84	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $691.83 / $4,466.84	Facility		$79.43	$691.83	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $2,344.23	Professional		$61.66	$61.66	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $691.83	Facility		$97.72	$138.04	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $457.09	Professional		$60.26	$79.43	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91