Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $501.19 / $812.83	Facility		$478.63	$501.19	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $812.83	Professional		$457.09	$524.81	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,096.48	Facility		$79.43	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Professional		$5,370.32	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $891.25 / $1,380.38	Facility		$478.63	$891.25	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $1,047.13	Professional		$478.63	$537.03	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $676.08	Professional		$660.69	$660.69	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $1,445.44	Facility		$478.63	$831.76	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $1,122.02	Facility		$302.00	$478.63	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $691.83	Professional		$398.11	$575.44	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48