Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Facility		$151.36	$151.36	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $288.40	Professional		$144.54	$165.96	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $346.74 / $346.74	Facility		$79.43	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $2,570.40	Professional		$1,698.24	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $436.52	Facility		$151.36	$281.84	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $338.84	Professional		$147.91	$181.97	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $446.68	Facility		$151.36	$263.03	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $354.81	Facility		$114.82	$229.09	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $234.42	Professional		$128.82	$190.55	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74