Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.71 / $350.23 / $2,693.34	Facility		$194.71	$350.23	$2,693.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $247.13 / $446.86	Professional		$194.71	$247.13	$446.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $93.15 / $264.05	Professional		$37.89	$93.15	$264.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $258.98 / $272.95 / $302.61	Facility		$258.98	$272.95	$302.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.58 / $1,481.98 / $5,429.97	Facility		$575.58	$1,481.98	$5,429.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.52 / $321.07 / $638.84	Professional		$220.52	$321.07	$638.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $552.71 / $4,042.45 / $4,042.45	Facility		$552.71	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.89 / $1,920.89 / $2,369.63	Professional		$1,920.89	$1,920.89	$2,369.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $328.16 / $552.66	Facility		$256.64	$328.16	$552.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $449.92 / $676.90	Professional		$259.43	$449.92	$676.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.43 / $388.60 / $1,704.13	Facility		$259.43	$388.60	$1,704.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.58 / $351.57 / $657.18	Professional		$236.58	$351.57	$657.18
United Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $327.06 / $477.47	Professional		$250.60	$327.06	$477.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $259.43 / $370.41	Professional		$232.72	$259.43	$370.41