Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $1,995.26	Facility		$147.91	$181.97	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $295.12	Professional		$158.49	$194.98	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $575.44 / $933.25	Facility		$251.19	$575.44	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $181.97 / $223.87	Professional		$41.69	$181.97	$223.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $218.78	Facility		$190.55	$190.55	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $831.76 / $1,288.25	Facility		$354.81	$831.76	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $416.87	Professional		$162.18	$223.87	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,778.28	Professional		$1,412.54	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $407.38	Facility		$173.78	$229.09	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $501.19	Professional		$162.18	$257.04	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $165.96	Professional		$26.92	$33.11	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $977.24	Facility		$181.97	$275.42	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $407.38	Professional		$165.96	$223.87	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $831.76	Facility		$323.59	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $346.74	Professional		$154.88	$223.87	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17