Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $1,280.55 / $1,638.24	Facility		$748.85	$1,280.55	$1,638.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $756.33 / $1,039.72	Professional		$748.85	$756.33	$1,039.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.59 / $1,565.65 / $3,086.76	Facility		$618.59	$1,565.65	$3,086.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.62 / $751.62 / $751.62	Professional		$751.62	$751.62	$751.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $524.23 / $524.23	Facility		$524.23	$524.23	$524.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $748.84 / $748.84	Facility		$706.46	$748.84	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Professional		$748.84	$748.84	$748.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $950.71 / $3,669.37 / $3,744.25	Facility		$950.71	$3,669.37	$3,744.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $748.85 / $1,102.97	Facility		$55.56	$748.85	$1,102.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $557.17 / $748.85 / $1,357.31	Professional		$557.17	$748.85	$1,357.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.53 / $748.84 / $1,070.85	Facility		$71.53	$748.84	$1,070.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.64 / $748.84 / $1,294.85	Professional		$707.64	$748.84	$1,294.85
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $871.96 / $1,179.29	Facility		$748.84	$871.96	$1,179.29
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.39 / $715.39 / $1,010.95	Professional		$715.39	$715.39	$1,010.95