Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $176.29 / $190.39	Facility		$176.29	$176.29	$190.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $190.39 / $352.58	Professional		$175.15	$190.39	$352.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.75 / $239.75 / $239.75	Professional		$239.75	$239.75	$239.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $402.65 / $402.65 / $402.65	Facility		$402.65	$402.65	$402.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $292.48	Professional		$213.51	$213.51	$292.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.69 / $2,178.59 / $2,178.59	Facility		$1,897.69	$2,178.59	$2,178.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.52 / $2,201.52 / $2,729.40	Professional		$2,201.52	$2,201.52	$2,729.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $282.48 / $402.65	Facility		$117.21	$282.48	$402.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $362.39 / $402.65	Professional		$118.54	$362.39	$402.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $288.18 / $402.65	Facility		$117.21	$288.18	$402.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $301.25	Professional		$213.51	$213.51	$301.25
United Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $223.82 / $277.18	Professional		$151.30	$223.82	$277.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $220.22 / $402.65	Professional		$218.58	$220.22	$402.65