Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.99 / $247.99 / $267.83	Facility		$247.99	$247.99	$267.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $267.82 / $495.98	Professional		$206.99	$267.82	$495.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.27 / $337.27 / $337.27	Professional		$337.27	$337.27	$337.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $566.42 / $566.42 / $566.42	Facility		$566.42	$566.42	$566.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $271.77	Professional		$198.39	$198.39	$271.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,350.53 / $2,754.57 / $2,754.57	Facility		$2,350.53	$2,754.57	$2,754.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,803.83 / $2,803.83 / $3,262.05	Professional		$2,803.83	$2,803.83	$3,262.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.08 / $394.75 / $566.42	Facility		$140.08	$394.75	$566.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $506.69 / $566.42	Professional		$141.66	$506.69	$566.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.08 / $378.48 / $566.42	Facility		$140.08	$378.48	$566.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $289.72	Professional		$198.39	$198.39	$289.72
United Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $267.49 / $331.26	Professional		$180.82	$267.49	$331.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $263.39 / $566.42	Professional		$263.18	$263.39	$566.42