Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $2,398.83	Facility		$316.23	$758.58	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $562.34	Professional		$316.23	$398.11	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $19.50 / $33.11	Facility		$6.76	$19.50	$33.11
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 $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $2,344.23	Facility		$338.84	$512.86	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $794.33	Professional		$537.03	$645.65	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $977.24	Facility		$346.74	$524.81	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $630.96	Professional		$323.59	$446.68	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,230.27	Facility		$323.59	$524.81	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $549.54	Professional		$281.84	$501.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $524.81	Facility		$190.55	$251.19	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $524.81	Professional		$218.78	$218.78	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $524.81	Professional		$67.61	$67.61	$524.81