Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $416.87	Facility		$389.05	$389.05	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $741.31	Professional		$371.54	$426.58	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $891.25 / $891.25	Facility		$79.43	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,456.54 / $6,456.54	Professional		$4,466.84	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $851.14 / $1,318.26	Facility		$251.19	$851.14	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $851.14	Professional		$380.19	$467.74	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $676.08	Professional		$660.69	$660.69	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $1,258.93	Facility		$380.19	$724.44	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $912.01	Facility		$295.12	$588.84	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $602.56	Professional		$323.59	$489.78	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25