Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,905.46	Facility		$794.33	$1,445.44	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $2,691.53	Facility		$588.84	$1,445.44	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $794.33 / $794.33	Facility		$741.31	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Professional		$794.33	$794.33	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $1,202.26	Facility		$794.33	$831.76	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $831.76	Professional		$794.33	$794.33	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $794.33	Professional		$676.08	$758.58	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $2,454.71	Facility		$794.33	$831.76	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $851.14	Professional		$794.33	$794.33	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $302.00 / $707.95	Facility		$0.76	$302.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $794.33	Professional		$316.23	$794.33	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33