Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.90 / $133.90 / $144.61	Facility		$133.90	$133.90	$144.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $144.61 / $267.79	Professional		$133.90	$144.61	$267.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $182.10 / $182.10	Professional		$182.10	$182.10	$182.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $305.82 / $305.82	Facility		$305.82	$305.82	$305.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $197.02	Professional		$143.82	$143.82	$197.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.80 / $1,631.04 / $1,631.04	Facility		$1,592.80	$1,631.04	$1,631.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.64 / $2,030.64 / $3,058.20	Professional		$2,030.64	$2,030.64	$3,058.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $213.13 / $305.82	Facility		$98.50	$213.13	$305.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $278.77 / $377.29	Professional		$99.61	$278.77	$377.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $204.34 / $305.82	Facility		$98.50	$204.34	$305.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $202.93	Professional		$143.82	$143.82	$202.93
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $188.09 / $229.88	Professional		$127.14	$188.09	$229.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $186.03 / $305.82	Professional		$185.11	$186.03	$305.82