Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Facility		$85.11	$85.11	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $154.88	Professional		$79.43	$93.33	$154.88
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 / $194.98 / $194.98	Facility		$79.43	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,445.44	Professional		$1,148.15	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $158.49 / $263.03	Facility		$85.11	$158.49	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $208.93	Professional		$85.11	$102.33	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Professional		$102.33	$102.33	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $147.91 / $275.42	Facility		$85.11	$147.91	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $95.50 / $218.78	Facility		$60.26	$95.50	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $138.04	Professional		$79.43	$114.82	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98