Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.79 / $319.79 / $345.37	Facility		$319.79	$319.79	$345.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.79 / $345.37 / $639.57	Professional		$319.79	$345.37	$639.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.91 / $434.91 / $434.91	Professional		$434.91	$434.91	$434.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $730.41 / $730.41 / $730.41	Facility		$730.41	$730.41	$730.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $456.40	Professional		$333.17	$333.17	$456.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,730.43 / $4,288.35 / $4,288.35	Facility		$3,730.43	$4,288.35	$4,288.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,333.49 / $4,333.49 / $5,494.13	Professional		$4,333.49	$4,333.49	$5,494.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $512.42 / $730.41	Facility		$235.24	$512.42	$730.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $671.98 / $730.41	Professional		$237.90	$671.98	$730.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $488.03 / $730.41	Facility		$235.24	$488.03	$730.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $470.09	Professional		$333.17	$333.17	$470.09
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $449.21 / $549.02	Professional		$303.66	$449.21	$549.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.97 / $444.16 / $730.41	Professional		$441.97	$444.16	$730.41