Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $346.74	Professional		$204.17	$263.03	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,737.80	Facility		$1,122.02	$1,584.89	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $30.20	Professional		$25.70	$30.20	$30.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $549.54	Facility		$426.58	$426.58	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $371.54	Facility		$275.42	$275.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $371.54	Professional		$234.42	$275.42	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $1,995.26	Facility		$660.69	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $549.54	Facility		$173.78	$398.11	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $398.11	Professional		$204.17	$346.74	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $549.54	Facility		$173.78	$346.74	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Professional		$234.42	$234.42	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $173.78 / $302.00	Facility		$20.42	$173.78	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $380.19	Professional		$181.97	$251.19	$380.19