Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $870.96 / $1,621.81	Facility		$316.23	$870.96	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,071.52 / $2,041.74	Facility		$489.78	$1,071.52	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
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 $316.23 / $346.74 / $676.08	Facility		$316.23	$346.74	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $346.74 / $660.69	Facility		$316.23	$346.74	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $724.44	Facility		$288.40	$549.54	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95