Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.97 / $353.97 / $382.28	Facility		$353.97	$353.97	$382.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.97 / $394.52 / $707.93	Professional		$353.97	$394.52	$707.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.39 / $481.39 / $481.39	Professional		$481.39	$481.39	$481.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $808.48 / $808.48 / $808.48	Facility		$808.48	$808.48	$808.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $496.34	Facility		$496.34	$496.34	$496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $362.33	Professional		$362.33	$362.33	$362.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,603.98 / $3,942.99 / $3,942.99	Facility		$1,603.98	$3,942.99	$3,942.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,278.29 / $4,278.29 / $5,774.33	Professional		$4,278.29	$4,278.29	$5,774.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $567.76 / $808.48	Facility		$247.97	$567.76	$808.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.77 / $727.63 / $864.30	Professional		$250.77	$727.63	$864.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $540.20 / $808.48	Facility		$247.97	$540.20	$808.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $718.65	Professional		$362.33	$362.33	$718.65
United Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $473.51 / $578.59	Professional		$320.08	$473.51	$578.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.88 / $470.36 / $808.48	Professional		$465.88	$470.36	$808.48