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 $288.40 / $398.11 / $707.95	Professional		$288.40	$398.11	$707.95
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 $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
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 $4,365.16 / $5,128.61 / $5,128.61	Professional		$4,365.16	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $1,047.13	Facility		$354.81	$660.69	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $741.31	Professional		$302.00	$407.38	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,071.52	Facility		$354.81	$645.65	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $776.25	Facility		$251.19	$467.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $512.86	Professional		$281.84	$416.87	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96