Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $328.91 / $355.22	Facility		$328.91	$328.91	$355.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $355.22 / $657.81	Professional		$328.91	$355.22	$657.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.31 / $447.31 / $447.31	Professional		$447.31	$447.31	$447.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $751.24 / $751.24 / $751.24	Facility		$751.24	$751.24	$751.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $500.58	Professional		$365.42	$365.42	$500.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,743.49 / $4,394.56 / $4,394.56	Facility		$3,743.49	$4,394.56	$4,394.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,607.35 / $4,607.35 / $5,204.03	Professional		$4,607.35	$4,607.35	$5,204.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $537.67 / $751.24	Facility		$223.48	$537.67	$751.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $676.12 / $917.19	Professional		$226.00	$676.12	$917.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $501.96 / $751.24	Facility		$223.48	$501.96	$751.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $533.64	Professional		$365.42	$365.42	$533.64
United Facility/Professional Professional Modifier Low / Median / High Price $288.47 / $426.74 / $521.57	Professional		$288.47	$426.74	$521.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.74 / $419.87 / $751.24	Professional		$416.74	$419.87	$751.24