Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $156.69 / $169.23	Facility		$156.69	$156.69	$169.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $169.23 / $313.39	Professional		$156.69	$169.23	$313.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $213.11 / $213.11	Professional		$213.11	$213.11	$213.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $357.90 / $357.90 / $357.90	Facility		$357.90	$357.90	$357.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $297.81	Professional		$217.40	$217.40	$297.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,867.83 / $1,908.80 / $1,908.80	Facility		$1,867.83	$1,908.80	$1,908.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.46 / $2,376.46 / $2,684.25	Professional		$2,376.46	$2,376.46	$2,684.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $250.06 / $357.90	Facility		$115.27	$250.06	$357.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $329.27 / $387.31	Professional		$116.57	$329.27	$387.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $251.10 / $357.90	Facility		$115.27	$251.10	$357.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $306.74	Professional		$217.40	$217.40	$306.74
United Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $220.12 / $269.02	Professional		$148.79	$220.12	$269.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $217.64 / $357.90	Professional		$216.57	$217.64	$357.90