Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Facility		$295.12	$295.12	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $588.84	Professional		$295.12	$371.54	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $398.11	Professional		$316.23	$316.23	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $676.08	Facility		$79.43	$676.08	$676.08
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 $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $5,011.87	Professional		$3,715.35	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $954.99	Facility		$316.23	$588.84	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $758.58	Professional		$295.12	$398.11	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Professional		$346.74	$346.74	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $977.24	Facility		$316.23	$562.34	$977.24
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 $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08