Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.28 / $106.28 / $114.78	Facility		$106.28	$106.28	$114.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $114.78 / $212.55	Professional		$101.60	$114.78	$212.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $144.53 / $144.53	Professional		$144.53	$144.53	$144.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $242.74 / $242.74 / $242.74	Facility		$242.74	$242.74	$242.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $172.35	Professional		$125.82	$125.82	$172.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $540.87 / $1,046.34 / $1,265.58	Facility		$540.87	$1,046.34	$1,265.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.09 / $1,465.43 / $1,498.73	Professional		$1,431.09	$1,465.43	$1,498.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $169.17 / $242.74	Facility		$64.36	$169.17	$242.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $209.89 / $242.74	Professional		$65.09	$209.89	$242.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $170.31 / $242.74	Facility		$64.36	$170.31	$242.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $174.52	Professional		$125.82	$125.82	$174.52
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $132.91 / $153.62	Facility		$76.81	$132.91	$153.62
United Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $122.90 / $150.19	Professional		$83.08	$122.90	$150.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $122.08 / $242.74	Professional		$120.92	$122.08	$242.74