Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $812.83	Facility		$338.84	$630.96	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Professional		$338.84	$338.84	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,071.52 / $36,307.81	Facility		$398.11	$1,071.52	$36,307.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Facility		$316.23	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $338.84	Professional		$331.13	$338.84	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,902.95 / $30,902.95	Facility		$30,199.52	$30,902.95	$30,902.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $512.86	Facility		$338.84	$354.81	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $331.13	Professional		$257.04	$316.23	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $2,884.03	Facility		$338.84	$354.81	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $354.81	Professional		$331.13	$338.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $134.90 / $338.84	Facility		$0.34	$134.90	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $338.84	Professional		$134.90	$338.84	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84