Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $162.18	Facility		$154.88	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $275.42	Professional		$147.91	$177.83	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $281.84 / $281.84	Facility		$79.43	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $223.87 / $602.56	Facility		$93.33	$223.87	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $269.15	Professional		$147.91	$173.78	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $281.84 / $602.56	Facility		$112.20	$281.84	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $446.68	Facility		$147.91	$208.93	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $331.13	Professional		$173.78	$263.03	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84