Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $197.14 / $200.93	Facility		$193.35	$197.14	$200.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $200.93 / $326.02	Professional		$185.76	$200.93	$326.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.79 / $257.79 / $257.79	Professional		$257.79	$257.79	$257.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $432.95 / $432.95 / $432.95	Facility		$432.95	$432.95	$432.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $253.20	Professional		$184.84	$184.84	$253.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.77 / $2,141.94 / $2,566.38	Facility		$912.77	$2,141.94	$2,566.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,668.05 / $2,732.09 / $3,224.70	Professional		$2,668.05	$2,732.09	$3,224.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $301.74 / $432.95	Facility		$130.51	$301.74	$432.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $389.66 / $467.13	Professional		$130.51	$389.66	$467.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $289.30 / $432.95	Facility		$130.51	$289.30	$432.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $260.80	Professional		$184.84	$184.84	$260.80
United Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $243.62 / $290.02	Professional		$168.47	$243.62	$290.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $246.42 / $432.95	Professional		$242.77	$246.42	$432.95