Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.11 / $127.11 / $137.28	Facility		$127.11	$127.11	$137.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $135.13 / $254.22	Professional		$103.63	$135.13	$254.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $138.16 / $172.87	Professional		$138.16	$138.16	$172.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $290.32 / $290.32 / $290.32	Facility		$290.32	$290.32	$290.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $102.82	Professional		$102.82	$102.82	$102.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.18 / $1,167.33 / $1,379.02	Facility		$479.18	$1,167.33	$1,379.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.88 / $1,551.24 / $1,633.05	Professional		$1,514.88	$1,551.24	$1,633.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $202.33 / $290.32	Facility		$70.13	$202.33	$290.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $261.29 / $290.32	Professional		$70.92	$261.29	$290.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $193.98 / $290.32	Facility		$70.13	$193.98	$290.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $232.95	Professional		$102.82	$102.82	$232.95
United Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $133.91 / $166.23	Professional		$90.53	$133.91	$166.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $132.08 / $290.32	Professional		$131.76	$132.08	$290.32