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 $323.59 / $371.54 / $660.69	Professional		$323.59	$371.54	$660.69
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 $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $5,888.44	Professional		$5,128.61	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $602.56 / $1,202.26	Facility		$239.88	$602.56	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $776.25	Professional		$338.84	$426.58	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $426.58	Professional		$416.87	$416.87	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $1,047.13	Facility		$338.84	$602.56	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $870.96	Facility		$281.84	$524.81	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $575.44	Professional		$309.03	$457.09	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25