Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $213.80	Facility		$199.53	$199.53	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $398.11	Professional		$194.98	$245.47	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $467.74 / $467.74	Facility		$79.43	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $338.84	Professional		$245.47	$245.47	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $602.56	Facility		$199.53	$398.11	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $575.44	Professional		$199.53	$263.03	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Professional		$251.19	$251.19	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $371.54 / $616.60	Facility		$199.53	$371.54	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $338.84	Professional		$245.47	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $512.86	Facility		$165.96	$331.13	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $338.84	Professional		$186.21	$275.42	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74