Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $331.13	Professional		$186.21	$213.80	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $457.09 / $457.09	Facility		$79.43	$457.09	$457.09
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 $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $3,801.89	Professional		$3,019.95	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $575.44	Facility		$190.55	$354.81	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $407.38	Professional		$186.21	$223.87	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $602.56	Facility		$190.55	$331.13	$602.56
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 $125.89 / $199.53 / $467.74	Facility		$125.89	$199.53	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $288.40	Professional		$165.96	$239.88	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09