Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $281.84	Professional		$151.36	$204.17	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $20.42	Professional		$19.95	$20.42	$20.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $380.19	Facility		$331.13	$331.13	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $281.84	Professional		$177.83	$208.93	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,548.82 / $1,548.82	Facility		$524.81	$1,548.82	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $380.19	Facility		$223.87	$223.87	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $302.00	Professional		$158.49	$257.04	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $251.19 / $380.19	Facility		$223.87	$251.19	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $245.47	Professional		$177.83	$208.93	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $109.65 / $199.53	Facility		$12.59	$109.65	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $239.88	Professional		$120.23	$162.18	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88