Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $263.03	Facility		$123.03	$125.89	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $213.80	Professional		$117.49	$141.25	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Professional		$131.83	$131.83	$162.18
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 $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $1,949.84	Professional		$1,479.11	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $363.08	Facility		$123.03	$229.09	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $263.03	Professional		$123.03	$151.36	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Professional		$141.25	$141.25	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $213.80 / $389.05	Facility		$123.03	$213.80	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $302.00	Facility		$81.28	$131.83	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $186.21	Professional		$109.65	$158.49	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84