Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.82 / $271.82 / $293.56	Facility		$271.82	$271.82	$293.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $293.56 / $543.63	Professional		$256.36	$293.56	$543.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.47 / $295.47 / $369.67	Professional		$295.47	$295.47	$369.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $287.52	Professional		$287.52	$287.52	$287.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,807.91 / $3,141.18 / $3,141.18	Facility		$2,807.91	$3,141.18	$3,141.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,174.24 / $3,174.24 / $4,080.98	Professional		$3,174.24	$3,174.24	$4,080.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $435.57 / $620.84	Facility		$173.49	$435.57	$620.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $558.76 / $620.84	Professional		$175.45	$558.76	$620.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $414.83 / $620.84	Facility		$173.49	$414.83	$620.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $505.43	Professional		$287.52	$287.52	$505.43
United Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $331.28 / $404.90	Professional		$223.95	$331.28	$404.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $325.95 / $620.84	Professional		$323.52	$325.95	$620.84