Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $122.03 / $131.79	Facility		$122.03	$122.03	$131.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $131.79 / $244.06	Professional		$122.03	$131.79	$244.06
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 $278.72 / $278.72 / $278.72	Facility		$278.72	$278.72	$278.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,446.87 / $1,485.33 / $1,485.33	Facility		$1,446.87	$1,485.33	$1,485.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,670.30 / $1,670.30 / $2,609.85	Professional		$1,670.30	$1,670.30	$2,609.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $198.73 / $278.72	Facility		$84.06	$198.73	$278.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $250.85 / $278.73	Professional		$85.01	$250.85	$278.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $199.51 / $278.72	Facility		$84.06	$199.51	$278.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
United Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $172.06 / $200.64	Facility		$98.31	$172.06	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $160.51 / $197.55	Professional		$108.51	$160.51	$197.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $159.44 / $278.72	Professional		$157.93	$159.44	$278.72