Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $123.03	Facility		$120.23	$120.23	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $199.53	Professional		$114.82	$131.83	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $269.15 / $269.15	Facility		$79.43	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $165.96	Professional		$120.23	$120.23	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $2,570.40	Professional		$2,290.87	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $371.54	Facility		$120.23	$223.87	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $281.84	Professional		$120.23	$144.54	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Professional		$151.36	$151.36	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $380.19	Facility		$120.23	$208.93	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $165.96	Professional		$120.23	$120.23	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $309.03	Facility		$83.18	$131.83	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $190.55	Professional		$109.65	$158.49	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15