Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $158.49	Facility		$117.49	$138.04	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $186.21	Professional		$112.20	$141.25	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $389.05 / $724.44	Facility		$177.83	$389.05	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $141.25 / $141.25	Facility		$134.90	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $346.74 / $794.33	Facility		$107.15	$346.74	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $239.88	Professional		$117.49	$162.18	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,288.25	Professional		$977.24	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $208.93	Facility		$97.72	$154.88	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $269.15	Professional		$134.90	$186.21	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $218.78	Facility		$89.13	$151.36	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $251.19	Professional		$120.23	$165.96	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $851.14	Facility		$616.60	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $199.53	Professional		$104.71	$141.25	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25