Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.63 / $316.63 / $341.96	Facility		$316.63	$316.63	$341.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.44 / $341.96 / $633.26	Professional		$316.44	$341.96	$633.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $344.18 / $430.62	Professional		$344.18	$344.18	$430.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.63 / $316.63 / $723.20	Facility		$316.63	$316.63	$723.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $472.30	Professional		$344.78	$344.78	$472.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.32 / $3,612.91 / $4,297.14	Facility		$1,609.32	$3,612.91	$4,297.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,087.52 / $5,209.60 / $5,209.60	Professional		$5,087.52	$5,209.60	$5,209.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $504.00 / $723.20	Facility		$218.52	$504.00	$723.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.99 / $650.88 / $757.58	Professional		$220.99	$650.88	$757.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $483.22 / $723.20	Facility		$218.52	$483.22	$723.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $503.49	Professional		$344.78	$344.78	$503.49
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $417.28 / $519.03	Professional		$282.08	$417.28	$519.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.56 / $411.21 / $723.20	Professional		$410.56	$411.21	$723.20