Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $524.81	Facility		$512.86	$512.86	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $933.25	Professional		$489.78	$562.34	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $676.08	Professional		$549.54	$676.08	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,174.90	Facility		$79.43	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $977.24 / $1,621.81	Facility		$512.86	$977.24	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,479.11	Professional		$512.86	$616.60	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $660.69	Professional		$645.65	$645.65	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,698.24	Facility		$512.86	$912.01	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $1,318.26	Facility		$354.81	$575.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $812.83	Professional		$478.63	$691.83	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90