Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $151.01 / $163.09	Facility		$151.01	$151.01	$163.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $163.09 / $302.01	Professional		$135.41	$163.09	$302.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.37 / $205.37 / $205.37	Professional		$205.37	$205.37	$205.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $344.90 / $344.90 / $344.90	Facility		$344.90	$344.90	$344.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $161.63	Professional		$117.99	$117.99	$161.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $1,316.67 / $1,316.67	Facility		$579.42	$1,316.67	$1,316.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.26 / $1,707.26 / $1,940.10	Professional		$1,707.26	$1,707.26	$1,940.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $240.36 / $344.90	Facility		$83.31	$240.36	$344.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $269.94 / $344.90	Professional		$84.25	$269.94	$344.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $230.45 / $344.90	Facility		$83.31	$230.45	$344.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $172.31	Professional		$117.99	$117.99	$172.31
United Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $170.54 / $198.86	Facility		$97.44	$170.54	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $159.09 / $195.80	Professional		$107.54	$159.09	$195.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $156.52 / $344.90	Professional		$156.09	$156.52	$344.90