Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.54 / $189.54 / $204.70	Facility		$189.54	$189.54	$204.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $204.70 / $379.07	Professional		$183.93	$204.70	$379.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $432.91 / $432.91 / $432.91	Facility		$432.91	$432.91	$432.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $244.07	Professional		$178.17	$178.17	$244.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $682.84 / $1,746.86 / $1,746.86	Facility		$682.84	$1,746.86	$1,746.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,151.65 / $2,151.65 / $3,361.95	Professional		$2,151.65	$2,151.65	$3,361.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $301.72 / $432.91	Facility		$108.28	$301.72	$432.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $392.82 / $432.91	Professional		$109.50	$392.82	$432.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $289.27 / $432.91	Facility		$108.28	$289.27	$432.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $251.39	Professional		$178.17	$178.17	$251.39
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $381.02 / $448.26	Facility		$381.02	$381.02	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $206.77 / $256.67	Professional		$139.77	$206.77	$256.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $205.41 / $432.91	Professional		$203.45	$205.41	$432.91