Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $1,148.15	Facility		$85.11	$104.71	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $190.55	Professional		$93.33	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $54.95 / $123.03	Professional		$19.95	$54.95	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $128.82	Facility		$114.82	$114.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $1,288.25	Facility		$245.47	$588.84	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $295.12	Professional		$104.71	$165.96	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,047.13	Professional		$912.01	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $275.42	Facility		$114.82	$169.82	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $281.84	Professional		$93.33	$154.88	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $741.31	Facility		$125.89	$194.98	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $295.12	Professional		$104.71	$151.36	$295.12
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 $109.65 / $141.25 / $218.78	Professional		$109.65	$141.25	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89