Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $389.05	Facility		$120.23	$147.91	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $218.78	Professional		$123.03	$144.54	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $776.25	Facility		$204.17	$478.63	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $107.15 / $138.04	Professional		$20.42	$107.15	$138.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $181.97	Facility		$120.23	$120.23	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $630.96 / $1,288.25	Facility		$281.84	$630.96	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $354.81	Professional		$112.20	$173.78	$354.81
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 $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $331.13	Facility		$131.83	$173.78	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $398.11	Professional		$123.03	$190.55	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $851.14	Facility		$134.90	$204.17	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $354.81	Professional		$112.20	$173.78	$354.81
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 $125.89 / $186.21 / $281.84	Professional		$125.89	$186.21	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Professional		$125.89	$125.89	$131.83