Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $363.08	Facility		$338.84	$338.84	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $676.08	Professional		$331.13	$416.87	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $776.25 / $776.25	Facility		$79.43	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,762.47 / $7,762.47	Professional		$5,128.61	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $1,047.13	Facility		$338.84	$676.08	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $977.24	Professional		$338.84	$446.68	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Professional		$407.38	$407.38	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $1,071.52	Facility		$338.84	$630.96	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $891.25	Facility		$288.40	$537.03	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $588.84	Professional		$316.23	$467.74	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25