Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $116.64 / $125.97	Facility		$116.64	$116.64	$125.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $125.97 / $233.28	Professional		$111.48	$125.97	$233.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $158.63 / $158.63	Professional		$158.63	$158.63	$158.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.41 / $266.41 / $266.41	Facility		$266.41	$266.41	$266.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $138.76	Professional		$101.29	$101.29	$138.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.97 / $1,184.51 / $1,406.43	Facility		$479.97	$1,184.51	$1,406.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.79 / $1,505.07 / $1,809.15	Professional		$1,469.79	$1,505.07	$1,809.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $185.67 / $266.41	Facility		$71.52	$185.67	$266.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $239.77 / $296.08	Professional		$72.33	$239.77	$296.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $178.02 / $266.41	Facility		$71.52	$178.02	$266.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $147.91	Professional		$101.29	$101.29	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $251.68 / $296.08	Facility		$251.68	$251.68	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $136.58 / $169.54	Professional		$92.33	$136.58	$169.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $134.38 / $266.41	Professional		$133.38	$134.38	$266.41