Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.25 / $271.25 / $292.94	Facility		$271.25	$271.25	$292.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.25 / $292.94 / $542.49	Professional		$271.25	$292.94	$542.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $368.89 / $368.89	Professional		$368.89	$368.89	$368.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $619.54 / $619.54 / $619.54	Facility		$619.54	$619.54	$619.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $444.49	Professional		$324.48	$324.48	$444.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,994.68 / $3,066.52 / $3,066.52	Facility		$2,994.68	$3,066.52	$3,066.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,817.82 / $3,817.82 / $4,312.35	Professional		$3,817.82	$3,817.82	$4,312.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $434.68 / $619.54	Facility		$185.18	$434.68	$619.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $569.98 / $694.14	Professional		$187.28	$569.98	$694.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $443.44 / $619.54	Facility		$185.18	$443.44	$619.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $457.82	Professional		$324.48	$324.48	$457.82
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $353.62 / $432.19	Professional		$239.04	$353.62	$432.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.92 / $349.65 / $619.54	Professional		$347.92	$349.65	$619.54