Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.01 / $139.69 / $142.38	Facility		$137.01	$139.69	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $142.38 / $231.04	Professional		$131.07	$142.38	$231.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $182.68 / $182.68	Professional		$182.68	$182.68	$182.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $306.80 / $306.80	Facility		$306.80	$306.80	$306.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $874.59 / $1,580.76 / $1,907.41	Facility		$874.59	$1,580.76	$1,907.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,765.07 / $2,831.45 / $2,831.45	Professional		$2,765.07	$2,831.45	$2,831.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $213.80 / $306.80	Facility		$97.00	$213.80	$306.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $276.12 / $306.80	Professional		$97.00	$276.12	$306.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $204.99 / $306.80	Facility		$97.00	$204.99	$306.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $200.62	Professional		$137.38	$137.38	$200.62
United Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $178.73 / $215.55	Professional		$125.21	$178.73	$215.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $183.43 / $306.80	Professional		$180.44	$183.43	$306.80