Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $118.88 / $121.17	Facility		$116.60	$118.88	$121.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $121.17 / $196.61	Professional		$109.74	$121.17	$196.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $124.26 / $155.46	Professional		$124.26	$124.26	$155.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $261.08 / $261.08	Facility		$261.08	$261.08	$261.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $122.64	Professional		$122.64	$122.64	$122.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.30 / $1,209.31 / $1,209.31	Facility		$436.30	$1,209.31	$1,209.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.45 / $1,307.45 / $1,900.95	Professional		$1,307.45	$1,307.45	$1,900.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $181.96 / $261.08	Facility		$74.72	$181.96	$261.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $234.98 / $261.08	Professional		$74.72	$234.98	$261.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $174.46 / $261.08	Facility		$74.72	$174.46	$261.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $210.75	Professional		$122.64	$122.64	$210.75
United Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $139.47 / $166.04	Professional		$96.45	$139.47	$166.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $138.99 / $261.08	Professional		$135.85	$138.99	$261.08