Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $794.33 / $1,174.90	Facility		$741.31	$794.33	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,288.25	Professional		$630.96	$954.99	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $416.87	Facility		$117.49	$181.97	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,513.56 / $1,513.56	Facility		$79.43	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,089.30 / $2,089.30	Facility		$100.00	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $1,318.26	Facility		$107.15	$158.49	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,174.90	Professional		$549.54	$1,000.00	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $1,202.26	Professional		$104.71	$138.04	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $1,288.25	Facility		$107.15	$181.97	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $117.49 / $1,000.00	Facility		$57.54	$117.49	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $741.31	Professional		$63.10	$87.10	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25