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 / $125.89 / $199.53	Professional		$93.33	$125.89	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $138.04	Professional		$23.44	$46.77	$138.04
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 / $630.96 / $1,621.81	Facility		$245.47	$630.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $416.87	Professional		$104.71	$181.97	$416.87
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 $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $436.52	Facility		$114.82	$199.53	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $281.84	Professional		$93.33	$173.78	$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 / $275.42 / $933.25	Facility		$125.89	$275.42	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $407.38	Professional		$104.71	$165.96	$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 $109.65 / $169.82 / $263.03	Professional		$109.65	$169.82	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89