Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,819.70	Facility		$1,230.27	$1,230.27	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Professional		$1,230.27	$1,230.27	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,862.09 / $3,388.44	Facility		$851.14	$1,862.09	$3,388.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $2,570.40	Facility		$1,230.27	$1,258.93	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $2,570.40	Facility		$1,230.27	$1,288.25	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,621.81	Facility		$630.96	$1,230.27	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95