Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.75 / $199.75 / $215.73	Facility		$199.75	$199.75	$215.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $215.73 / $399.50	Professional		$199.75	$215.73	$399.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.13 / $217.13 / $271.66	Professional		$217.13	$217.13	$271.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $456.24 / $456.24 / $456.24	Facility		$456.24	$456.24	$456.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $245.16	Professional		$245.16	$245.16	$245.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.02 / $2,819.79 / $2,819.79	Facility		$2,344.02	$2,819.79	$2,819.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,938.52 / $2,938.52 / $4,364.10	Professional		$2,938.52	$2,938.52	$4,364.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $326.52 / $456.24	Facility		$143.40	$326.52	$456.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $410.62 / $593.64	Professional		$145.01	$410.62	$593.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $326.52 / $456.24	Facility		$143.40	$326.52	$456.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $464.62	Professional		$245.16	$245.16	$464.62
United Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $273.82 / $334.67	Professional		$185.10	$273.82	$334.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $270.76 / $456.24	Professional		$269.42	$270.76	$456.24