Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Facility		$186.21	$186.21	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Professional		$158.49	$190.55	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $426.58 / $426.58	Facility		$79.43	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $2,691.53	Professional		$2,344.23	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $512.86	Facility		$173.78	$316.23	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $389.05	Professional		$169.82	$194.98	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $524.81	Facility		$173.78	$309.03	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $407.38	Facility		$112.20	$177.83	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $257.04	Professional		$147.91	$213.80	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58