Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $194.98	Facility		$181.97	$181.97	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $363.08	Professional		$169.82	$199.53	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $416.87 / $416.87	Facility		$79.43	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $2,754.23	Professional		$2,454.71	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $338.84 / $524.81	Facility		$177.83	$338.84	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $478.63	Professional		$177.83	$223.87	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $245.47	Professional		$239.88	$239.88	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $549.54	Facility		$181.97	$316.23	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $426.58	Facility		$138.04	$275.42	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $281.84	Professional		$154.88	$229.09	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87