Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $549.54	Facility		$512.86	$512.86	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $977.24	Professional		$446.68	$549.54	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
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 $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Professional		$478.63	$478.63	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $912.01 / $1,445.44	Facility		$501.19	$912.01	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,047.13	Professional		$467.74	$575.44	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Professional		$630.96	$630.96	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,445.44	Facility		$501.19	$870.96	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Professional		$478.63	$478.63	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $1,174.90	Facility		$380.19	$707.95	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $776.25	Professional		$426.58	$630.96	$776.25
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