Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.73 / $279.73 / $302.11	Facility		$279.73	$279.73	$302.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $302.11 / $559.46	Professional		$279.73	$302.11	$559.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.43 / $380.43 / $380.43	Professional		$380.43	$380.43	$380.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $638.91 / $638.91 / $638.91	Facility		$638.91	$638.91	$638.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $493.58	Professional		$360.31	$360.31	$493.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,080.66 / $3,114.29 / $3,114.29	Facility		$3,080.66	$3,114.29	$3,114.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,353.09 / $3,433.55 / $4,291.95	Professional		$3,353.09	$3,433.55	$4,291.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $445.27 / $638.91	Facility		$184.31	$445.27	$638.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $575.02 / $656.33	Professional		$186.39	$575.02	$656.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $448.26 / $638.91	Facility		$184.31	$448.26	$638.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $500.06	Professional		$360.31	$360.31	$500.06
United Facility/Professional Facility Modifier Low / Median / High Price $648.55 / $648.55 / $763.01	Facility		$648.55	$648.55	$763.01
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $351.95 / $439.93	Professional		$237.91	$351.95	$439.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $346.27 / $638.91	Professional		$345.85	$346.27	$638.91