Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $287.56 / $310.56	Facility		$287.56	$287.56	$310.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.62 / $310.56 / $575.11	Professional		$286.62	$310.56	$575.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Professional		$391.07	$391.07	$391.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $656.78 / $656.78 / $656.78	Facility		$656.78	$656.78	$656.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $452.18	Professional		$330.09	$330.09	$452.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,418.95 / $3,241.88 / $3,892.15	Facility		$1,418.95	$3,241.88	$3,892.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,227.08 / $4,328.51 / $4,609.13	Professional		$4,227.08	$4,328.51	$4,609.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $460.79 / $656.78	Facility		$197.93	$460.79	$656.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $591.10 / $656.78	Professional		$200.17	$591.10	$656.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $452.18 / $656.78	Facility		$197.93	$452.18	$656.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $482.05	Professional		$330.09	$330.09	$482.05
United Facility/Professional Facility Modifier Low / Median / High Price $696.49 / $696.49 / $819.40	Facility		$696.49	$696.49	$819.40
United Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $377.96 / $461.94	Professional		$255.50	$377.96	$461.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.88 / $373.72 / $656.78	Professional		$371.88	$373.72	$656.78