Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $331.13	Facility		$316.23	$316.23	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $478.63	Professional		$257.04	$331.13	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $724.44 / $724.44	Facility		$79.43	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $346.74	Professional		$251.19	$251.19	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $537.03 / $870.96	Facility		$302.00	$537.03	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $630.96	Professional		$281.84	$331.13	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $426.58	Professional		$416.87	$416.87	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $891.25	Facility		$302.00	$524.81	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $346.74	Professional		$251.19	$251.19	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $269.15 / $616.60	Facility		$169.82	$269.15	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $380.19	Professional		$223.87	$331.13	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44