Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.06 / $313.06 / $338.10	Facility		$313.06	$313.06	$338.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $338.10 / $626.11	Professional		$313.06	$338.10	$626.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.29 / $425.75 / $425.75	Professional		$340.29	$425.75	$425.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $715.04 / $715.04 / $715.04	Facility		$715.04	$715.04	$715.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $555.76	Professional		$405.70	$405.70	$555.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,703.71 / $3,725.56 / $3,725.56	Facility		$3,703.71	$3,725.56	$3,725.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,638.32 / $4,638.32 / $5,239.05	Professional		$4,638.32	$4,638.32	$5,239.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $511.77 / $715.04	Facility		$224.98	$511.77	$715.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $657.84 / $858.53	Professional		$227.52	$657.84	$858.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $511.77 / $715.04	Facility		$224.98	$511.77	$715.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $592.47	Professional		$405.70	$405.70	$592.47
United Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $429.61 / $528.74	Professional		$290.41	$429.61	$528.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.69 / $424.79 / $715.04	Professional		$422.69	$424.79	$715.04