Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $691.83	Facility		$281.84	$302.00	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $562.34	Professional		$257.04	$323.59	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $660.69	Facility		$79.43	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Professional		$354.81	$354.81	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $831.76	Facility		$275.42	$537.03	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $676.08	Professional		$263.03	$346.74	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $851.14	Facility		$275.42	$501.19	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Professional		$354.81	$354.81	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $676.08	Facility		$218.78	$416.87	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $446.68	Professional		$245.47	$363.08	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69