Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $132.52 / $135.07	Facility		$129.97	$132.52	$135.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $135.07 / $243.83	Professional		$127.43	$135.07	$243.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $173.30 / $173.30	Professional		$173.30	$173.30	$173.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $291.04 / $291.04 / $291.04	Facility		$291.04	$291.04	$291.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $181.86	Professional		$132.76	$132.76	$181.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $653.74 / $1,549.83 / $1,843.29	Facility		$653.74	$1,549.83	$1,843.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.55 / $2,027.07 / $2,182.80	Professional		$1,979.55	$2,027.07	$2,182.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $218.50 / $291.04	Facility		$93.74	$218.50	$291.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $265.33 / $361.32	Professional		$93.74	$265.33	$361.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $185.86 / $291.04	Facility		$93.74	$185.86	$291.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $227.79	Professional		$132.76	$132.76	$227.79
United Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $143.90 / $189.98	Facility		$111.56	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $174.98 / $208.31	Professional		$121.00	$174.98	$208.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $177.26 / $291.04	Professional		$174.36	$177.26	$291.04