Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $116.68 / $126.01	Facility		$116.68	$116.68	$126.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $126.01 / $233.36	Professional		$116.68	$126.01	$233.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $126.83 / $158.68	Professional		$126.83	$126.83	$158.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.50 / $266.50 / $266.50	Facility		$266.50	$266.50	$266.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $166.52	Professional		$121.56	$121.56	$166.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $546.07 / $1,389.02 / $1,389.02	Facility		$546.07	$1,389.02	$1,389.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.88 / $1,758.88 / $2,177.10	Professional		$1,758.88	$1,758.88	$2,177.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $190.74 / $266.50	Facility		$85.83	$190.74	$266.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $243.01 / $355.33	Professional		$86.80	$243.01	$355.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $178.07 / $266.50	Facility		$85.83	$178.07	$266.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $177.52	Professional		$121.56	$121.56	$177.52
United Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $163.90 / $203.46	Professional		$110.80	$163.90	$203.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $175.88 / $266.50	Professional		$161.26	$175.88	$266.50