Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $158.76 / $171.46	Facility		$158.76	$158.76	$171.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $171.46 / $317.51	Professional		$158.76	$171.46	$317.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $215.91 / $215.91	Professional		$172.57	$215.91	$215.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.60 / $362.60 / $362.60	Facility		$362.60	$362.60	$362.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $271.68	Professional		$198.33	$198.33	$271.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $677.64 / $1,747.51 / $1,747.51	Facility		$677.64	$1,747.51	$1,747.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.00 / $1,856.00 / $2,668.13	Professional		$1,856.00	$1,856.00	$2,668.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $252.69 / $362.60	Facility		$108.72	$252.69	$362.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $326.33 / $374.95	Professional		$109.95	$326.33	$374.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $259.51 / $362.60	Facility		$108.72	$259.51	$362.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $283.79	Professional		$198.33	$198.33	$283.79
United Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $207.60 / $257.70	Professional		$140.34	$207.60	$257.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $214.69 / $362.60	Professional		$204.26	$214.69	$362.60