Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $302.00	Facility		$281.84	$281.84	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $549.54	Professional		$245.47	$323.59	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $645.65	Facility		$79.43	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $4,265.80	Professional		$3,467.37	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $794.33	Facility		$275.42	$524.81	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $645.65	Professional		$257.04	$346.74	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $371.54	Professional		$363.08	$363.08	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $812.83	Facility		$275.42	$501.19	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $660.69	Facility		$213.80	$398.11	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $436.52	Professional		$239.88	$354.81	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65