Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $5,888.44	Facility		$776.25	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,445.44	Professional		$776.25	$1,023.29	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $5,754.40	Facility		$851.14	$1,348.96	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,995.26	Professional		$1,318.26	$1,584.89	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,570.40	Facility		$870.96	$1,318.26	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,548.82	Professional		$812.83	$1,096.48	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $3,019.95	Facility		$831.76	$1,318.26	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,380.38	Professional		$79.43	$1,230.27	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,318.26	Facility		$467.74	$616.60	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,318.26	Professional		$549.54	$549.54	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,318.26	Professional		$630.96	$630.96	$1,318.26