Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $119.61 / $129.16	Facility		$119.61	$119.61	$129.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $129.16 / $239.21	Professional		$117.67	$129.16	$239.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $162.66 / $162.66	Professional		$162.66	$162.66	$162.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $273.18 / $273.18	Facility		$273.18	$273.18	$273.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $159.21	Professional		$116.22	$116.22	$159.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.00 / $1,456.68 / $1,456.68	Facility		$1,295.00	$1,456.68	$1,456.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.02 / $1,472.02 / $1,828.20	Professional		$1,472.02	$1,472.02	$1,828.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $205.10 / $273.18	Facility		$78.51	$205.10	$273.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $245.86 / $294.41	Professional		$79.40	$245.86	$294.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $181.42 / $273.18	Facility		$78.51	$181.42	$273.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $213.82	Professional		$116.22	$116.22	$213.82
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $149.91 / $183.23	Professional		$101.34	$149.91	$183.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $148.22 / $273.18	Professional		$147.50	$148.22	$273.18