Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.55 / $162.55 / $395.85	Facility		$162.55	$162.55	$395.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $175.55 / $325.10	Professional		$149.55	$175.55	$325.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $221.07 / $221.07	Professional		$176.70	$221.07	$221.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.28 / $371.28 / $371.28	Facility		$371.28	$371.28	$371.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $177.64	Professional		$129.68	$129.68	$177.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,523.57 / $1,763.58 / $1,763.58	Facility		$1,523.57	$1,763.58	$1,763.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.84 / $1,863.32 / $2,631.83	Professional		$1,837.84	$1,863.32	$2,631.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $258.76 / $371.28	Facility		$89.69	$258.76	$371.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $313.98 / $371.28	Professional		$90.70	$313.98	$371.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $248.09 / $371.28	Facility		$89.69	$248.09	$371.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $189.38	Professional		$129.68	$129.68	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $171.26 / $212.59	Professional		$115.77	$171.26	$212.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $169.19 / $371.28	Professional		$168.50	$169.19	$371.28