Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $407.38	Facility		$371.54	$371.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $741.31	Professional		$354.81	$436.52	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $870.96	Facility		$79.43	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $645.65	Professional		$478.63	$478.63	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $8,128.31	Professional		$5,370.32	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $741.31 / $1,348.96	Facility		$263.03	$741.31	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,000.00	Professional		$371.54	$467.74	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $676.08 / $1,122.02	Facility		$371.54	$676.08	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $645.65	Professional		$478.63	$478.63	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $933.25	Facility		$302.00	$562.34	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $616.60	Professional		$338.84	$501.19	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96