Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.70 / $211.78 / $215.85	Facility		$207.70	$211.78	$215.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $215.85 / $378.16	Professional		$199.56	$215.85	$378.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.94 / $276.94 / $276.94	Professional		$276.94	$276.94	$276.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $465.10 / $465.10 / $465.10	Facility		$465.10	$465.10	$465.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $290.63	Professional		$212.16	$212.16	$290.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,376.21 / $2,531.55 / $2,945.62	Facility		$1,376.21	$2,531.55	$2,945.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,350.60 / $4,455.00 / $4,650.97	Professional		$4,350.60	$4,455.00	$4,650.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $324.14 / $465.10	Facility		$149.80	$324.14	$465.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $423.97 / $560.37	Professional		$149.80	$423.97	$560.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $310.77 / $465.10	Facility		$149.80	$310.77	$465.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $299.35	Professional		$212.16	$212.16	$299.35
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $192.05 / $276.01 / $332.89	Professional		$192.05	$276.01	$332.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $283.29 / $465.10	Professional		$278.64	$283.29	$465.10