Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $89.13	Facility		$87.10	$87.10	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $144.54	Professional		$81.28	$97.72	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $199.53	Facility		$79.43	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,288.25	Professional		$1,258.93	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $144.54 / $309.03	Facility		$56.23	$144.54	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $190.55	Professional		$87.10	$104.71	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Professional		$114.82	$114.82	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $257.04	Facility		$87.10	$151.36	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $199.53	Facility		$54.95	$87.10	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $123.03	Professional		$72.44	$104.71	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53