Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.25 / $265.25 / $286.45	Facility		$265.25	$265.25	$286.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.25 / $286.45 / $530.49	Professional		$265.25	$286.45	$530.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $360.73 / $360.73	Professional		$360.73	$360.73	$360.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $605.83 / $605.83 / $605.83	Facility		$605.83	$605.83	$605.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $367.78	Professional		$367.78	$367.78	$367.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,083.04 / $3,699.35 / $3,699.35	Facility		$3,083.04	$3,699.35	$3,699.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,878.47 / $3,878.47 / $5,270.63	Professional		$3,878.47	$3,878.47	$5,270.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $425.05 / $605.83	Facility		$188.13	$425.05	$605.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $545.25 / $662.14	Professional		$190.25	$545.25	$662.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $433.62 / $605.83	Facility		$188.13	$433.62	$605.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $550.55	Professional		$367.78	$367.78	$550.55
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $359.24 / $439.06	Professional		$242.84	$359.24	$439.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.46 / $356.85 / $605.83	Professional		$353.46	$356.85	$605.83