Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.91 / $296.62 / $302.32	Facility		$290.91	$296.62	$302.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.80 / $302.32 / $502.93	Professional		$273.80	$302.32	$502.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $310.02 / $387.89	Professional		$310.02	$310.02	$387.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $651.44 / $651.44 / $651.44	Facility		$651.44	$651.44	$651.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $373.57	Professional		$272.70	$272.70	$373.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,938.67 / $3,539.94 / $3,539.94	Facility		$2,938.67	$3,539.94	$3,539.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,688.99 / $3,688.99 / $4,192.05	Professional		$3,688.99	$3,688.99	$4,192.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $450.72 / $651.44	Facility		$180.02	$450.72	$651.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $586.29 / $745.25	Professional		$180.02	$586.29	$745.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $435.26 / $651.44	Facility		$180.02	$435.26	$651.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $384.78	Professional		$272.70	$272.70	$384.78
United Facility/Professional Facility Modifier Low / Median / High Price $214.24 / $276.36 / $364.85	Facility		$214.24	$276.36	$364.85
United Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $336.04 / $400.04	Professional		$232.38	$336.04	$400.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.87 / $340.43 / $651.44	Professional		$334.87	$340.43	$651.44