Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $161.16 / $174.05	Facility		$161.16	$161.16	$174.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $174.05 / $322.31	Professional		$160.54	$174.05	$322.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.17 / $219.17 / $219.17	Professional		$219.17	$219.17	$219.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $368.09 / $368.09 / $368.09	Facility		$368.09	$368.09	$368.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $221.07	Professional		$161.38	$161.38	$221.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,741.43 / $2,016.23 / $2,016.23	Facility		$1,741.43	$2,016.23	$2,016.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.46 / $2,062.46 / $3,071.85	Professional		$2,062.46	$2,062.46	$3,071.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $256.52 / $368.09	Facility		$102.53	$256.52	$368.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $338.64 / $416.66	Professional		$103.69	$338.64	$416.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $245.95 / $368.09	Facility		$102.53	$245.95	$368.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $235.67	Professional		$161.38	$161.38	$235.67
United Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $195.79 / $244.74	Professional		$132.36	$195.79	$244.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $201.58 / $368.09	Professional		$192.64	$201.58	$368.09