Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $562.34	Facility		$537.03	$537.03	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $912.01	Professional		$512.86	$588.84	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,230.27	Facility		$79.43	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Professional		$6,025.60	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $1,548.82	Facility		$537.03	$1,000.00	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,202.26	Professional		$537.03	$602.56	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $933.25	Professional		$912.01	$912.01	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,621.81	Facility		$537.03	$912.01	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,258.93	Facility		$338.84	$537.03	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $776.25	Professional		$446.68	$645.65	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27