Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $2,290.87	Facility		$302.00	$724.44	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $489.78	Professional		$302.00	$389.05	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $407.38	Professional		$5.01	$5.50	$407.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $912.01 / $2,238.72	Facility		$323.59	$912.01	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $691.83	Professional		$269.15	$524.81	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $912.01	Facility		$302.00	$467.74	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $549.54	Professional		$302.00	$407.38	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $1,230.27	Facility		$331.13	$501.19	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $524.81	Professional		$269.15	$501.19	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $501.19	Facility		$181.97	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $501.19	Professional		$213.80	$213.80	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98