Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $2,884.03	Facility		$218.78	$269.15	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $436.52	Professional		$234.42	$281.84	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $263.03 / $316.23	Professional		$38.02	$263.03	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,174.90 / $1,737.80	Facility		$512.86	$1,174.90	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $645.65	Professional		$190.55	$338.84	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,570.40	Professional		$2,041.74	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $575.44	Facility		$204.17	$323.59	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $724.44	Professional		$234.42	$389.05	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $239.88	Professional		$24.55	$33.11	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $1,412.54	Facility		$218.78	$407.38	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $645.65	Professional		$199.53	$338.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $1,122.02	Facility		$426.58	$851.14	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $524.81	Professional		$208.93	$338.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $295.12	Professional		$281.84	$281.84	$295.12