Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $1,479.11	Facility		$194.98	$467.74	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $354.81	Professional		$194.98	$257.04	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $794.33 / $1,659.59	Facility		$309.03	$794.33	$1,659.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $588.84 / $1,445.44	Facility		$229.09	$588.84	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $371.54 / $489.78	Professional		$169.82	$371.54	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $602.56	Facility		$213.80	$323.59	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $389.05	Professional		$194.98	$263.03	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $794.33	Facility		$213.80	$323.59	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $380.19	Professional		$169.82	$251.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $323.59	Facility		$117.49	$169.82	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $323.59	Professional		$134.90	$151.36	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $323.59	Professional		$125.89	$125.89	$323.59