Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $181.72 / $185.22	Facility		$178.23	$181.72	$185.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $185.22 / $298.56	Professional		$162.21	$185.22	$298.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.94 / $189.94 / $237.64	Professional		$189.94	$189.94	$237.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $399.10 / $399.10 / $399.10	Facility		$399.10	$399.10	$399.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,209.77 / $1,717.61 / $2,007.97	Facility		$1,209.77	$1,717.61	$2,007.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,824.46 / $3,916.26 / $3,916.26	Professional		$3,824.46	$3,916.26	$3,916.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $269.86 / $399.10	Facility		$102.11	$269.86	$399.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.11 / $359.19 / $399.10	Professional		$102.11	$359.19	$399.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $266.68 / $399.10	Facility		$102.11	$266.68	$399.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $218.64	Professional		$149.72	$149.72	$218.64
United Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $190.61 / $226.92	Professional		$131.81	$190.61	$226.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $191.22 / $399.10	Professional		$189.95	$191.22	$399.10