Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.62 / $180.62 / $195.06	Facility		$180.62	$180.62	$195.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $195.06 / $361.23	Professional		$176.41	$195.06	$361.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.64 / $245.64 / $245.64	Professional		$245.64	$245.64	$245.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $412.54 / $412.54 / $412.54	Facility		$412.54	$412.54	$412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $239.78	Professional		$175.04	$175.04	$239.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,982.96 / $2,347.59 / $2,347.59	Facility		$1,982.96	$2,347.59	$2,347.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.21 / $2,447.21 / $2,780.10	Professional		$2,447.21	$2,447.21	$2,780.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $289.43 / $412.54	Facility		$119.39	$289.43	$412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $371.29 / $494.23	Professional		$120.73	$371.29	$494.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $275.64 / $412.54	Facility		$119.39	$275.64	$412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $246.97	Professional		$175.04	$175.04	$246.97
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $227.97 / $280.57	Professional		$154.11	$227.97	$280.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $224.29 / $412.54	Professional		$224.02	$224.29	$412.54