Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.87 / $374.87 / $404.86	Facility		$374.87	$374.87	$404.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.87 / $404.86 / $749.74	Professional		$374.87	$404.86	$749.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.82 / $509.82 / $509.82	Professional		$509.82	$509.82	$509.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $856.23 / $856.23 / $856.23	Facility		$856.23	$856.23	$856.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $649.92	Facility		$649.92	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $649.92	Professional		$474.45	$474.45	$649.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,278.92 / $4,313.20 / $4,313.20	Facility		$4,278.92	$4,313.20	$4,313.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,369.93 / $5,369.93 / $8,087.25	Professional		$5,369.93	$5,369.93	$8,087.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $596.71 / $856.23	Facility		$260.47	$596.71	$856.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $770.61 / $1,037.59	Professional		$263.41	$770.61	$1,037.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $612.82 / $856.23	Facility		$260.47	$612.82	$856.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $692.86	Professional		$474.45	$474.45	$692.86
United Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $497.38 / $607.90	Professional		$336.22	$497.38	$607.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.36 / $491.79 / $856.23	Professional		$489.36	$491.79	$856.23