Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.43 / $131.43 / $141.94	Facility		$131.43	$131.43	$141.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $139.72 / $262.85	Professional		$120.91	$139.72	$262.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $178.74 / $178.74	Professional		$178.74	$178.74	$178.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $300.18 / $300.18 / $300.18	Facility		$300.18	$300.18	$300.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $555.85 / $1,187.13 / $1,425.86	Facility		$555.85	$1,187.13	$1,425.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.25 / $1,688.85 / $2,251.35	Professional		$1,649.25	$1,688.85	$2,251.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $209.20 / $300.18	Facility		$72.51	$209.20	$300.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $253.85 / $300.18	Professional		$73.33	$253.85	$300.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $200.57 / $300.18	Facility		$72.51	$200.57	$300.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $202.83	Professional		$141.99	$141.99	$202.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $138.46 / $173.08	Professional		$93.60	$138.46	$173.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.91 / $300.18	Professional		$136.22	$136.91	$300.18