Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $194.98	Facility		$181.97	$181.97	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $363.08	Professional		$181.97	$223.87	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $426.58 / $426.58	Facility		$79.43	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $3,981.07	Professional		$3,162.28	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $575.44	Facility		$181.97	$363.08	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $537.03	Professional		$181.97	$251.19	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $229.09	Professional		$223.87	$223.87	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $602.56	Facility		$181.97	$363.08	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $309.03 / $478.63	Facility		$158.49	$309.03	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $316.23	Professional		$173.78	$263.03	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58