Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $169.82	Facility		$158.49	$158.49	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $302.00	Professional		$151.36	$173.78	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $363.08 / $363.08	Facility		$79.43	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $2,630.27	Professional		$1,819.70	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $346.74 / $537.03	Facility		$102.33	$346.74	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $346.74	Professional		$154.88	$190.55	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $181.97	Professional		$158.49	$181.97	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $512.86	Facility		$154.88	$295.12	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $239.88 / $371.54	Facility		$120.23	$239.88	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $245.47	Professional		$131.83	$199.53	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08