Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.01 / $254.01 / $274.33	Facility		$254.01	$254.01	$274.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.46 / $270.04 / $508.01	Professional		$229.46	$270.04	$508.01
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 $345.45 / $345.45 / $345.45	Professional		$345.45	$345.45	$345.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $580.16 / $580.16 / $580.16	Facility		$580.16	$580.16	$580.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $200.41	Professional		$200.41	$200.41	$200.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.24 / $2,359.33 / $2,359.33	Facility		$870.24	$2,359.33	$2,359.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.79 / $2,871.79 / $4,351.20	Professional		$2,871.79	$2,871.79	$4,351.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $404.31 / $580.16	Facility		$140.13	$404.31	$580.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $502.13 / $580.16	Professional		$141.72	$502.13	$580.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $387.64 / $580.16	Facility		$140.13	$387.64	$580.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $417.50	Professional		$200.41	$200.41	$417.50
United Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $267.61 / $332.18	Professional		$180.90	$267.61	$332.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $263.79 / $580.16	Professional		$263.30	$263.79	$580.16