Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $211.66 / $228.59	Facility		$211.66	$211.66	$228.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $228.59 / $423.31	Professional		$200.68	$228.59	$423.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.85 / $287.85 / $287.85	Professional		$287.85	$287.85	$287.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $483.43 / $483.43 / $483.43	Facility		$483.43	$483.43	$483.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $305.27	Professional		$222.85	$222.85	$305.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $892.31 / $2,036.64 / $2,426.63	Facility		$892.31	$2,036.64	$2,426.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.17 / $2,458.35 / $2,905.13	Professional		$2,452.17	$2,458.35	$2,905.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $336.89 / $483.43	Facility		$123.40	$336.89	$483.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $435.09 / $483.43	Professional		$124.80	$435.09	$483.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $323.00 / $483.43	Facility		$123.40	$323.00	$483.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $314.44	Professional		$222.85	$222.85	$314.44
United Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $235.64 / $292.51	Professional		$159.30	$235.64	$292.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.85 / $234.08 / $483.43	Professional		$231.85	$234.08	$483.43