Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Facility		$190.55	$190.55	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $323.59	Professional		$181.97	$208.93	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $436.52 / $436.52	Facility		$79.43	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $3,162.28	Professional		$2,137.96	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $549.54	Facility		$190.55	$354.81	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $416.87	Professional		$190.55	$213.80	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $575.44	Facility		$190.55	$323.59	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $446.68	Facility		$120.23	$190.55	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $275.42	Professional		$158.49	$229.09	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52