Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.85 / $159.85 / $172.63	Facility		$159.85	$159.85	$172.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $172.63 / $319.69	Professional		$159.85	$172.63	$319.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.39 / $217.39 / $217.39	Professional		$217.39	$217.39	$217.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $274.64	Professional		$200.49	$200.49	$274.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $852.76 / $1,955.07 / $2,312.30	Facility		$852.76	$1,955.07	$2,312.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,695.59 / $2,760.30 / $3,209.93	Professional		$2,695.59	$2,760.30	$3,209.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $257.45 / $365.10	Facility		$117.59	$257.45	$365.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $332.88 / $423.31	Professional		$118.92	$332.88	$423.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $261.31 / $365.10	Facility		$117.59	$261.31	$365.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $292.80	Professional		$200.49	$200.49	$292.80
United Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $224.54 / $274.44	Professional		$151.79	$224.54	$274.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $220.97 / $365.10	Professional		$220.24	$220.97	$365.10