Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.23 / $222.23 / $240.00	Facility		$222.23	$222.23	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $240.00 / $444.45	Professional		$208.36	$240.00	$444.45
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.23 / $302.23 / $302.23	Professional		$302.23	$302.23	$302.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $507.58 / $507.58 / $507.58	Facility		$507.58	$507.58	$507.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,155.56 / $2,572.98 / $2,572.98	Facility		$2,155.56	$2,572.98	$2,572.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,600.06 / $2,600.06 / $3,489.68	Professional		$2,600.06	$2,600.06	$3,489.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $353.74 / $507.58	Facility		$130.85	$353.74	$507.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $429.24 / $507.58	Professional		$132.32	$429.24	$507.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $339.16 / $507.58	Facility		$130.85	$339.16	$507.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $289.08	Professional		$204.89	$204.89	$289.08
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $249.86 / $312.33	Professional		$168.90	$249.86	$312.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $247.06 / $507.58	Professional		$245.84	$247.06	$507.58