Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $181.39 / $195.90	Facility		$181.39	$181.39	$195.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $195.90 / $362.78	Professional		$181.39	$195.90	$362.78
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 $197.17 / $246.69 / $246.69	Professional		$197.17	$246.69	$246.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $414.31 / $414.31 / $414.31	Facility		$414.31	$414.31	$414.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.52	Professional		$200.41	$200.41	$274.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,227.59 / $2,618.87 / $2,618.87	Facility		$2,227.59	$2,618.87	$2,618.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.43 / $2,646.43 / $3,317.78	Professional		$2,646.43	$2,646.43	$3,317.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $296.52 / $414.31	Facility		$133.44	$296.52	$414.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $377.81 / $476.07	Professional		$134.94	$377.81	$476.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $276.83 / $414.31	Facility		$133.44	$276.83	$414.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $292.66	Professional		$200.41	$200.41	$292.66
United Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $254.81 / $311.43	Professional		$172.25	$254.81	$311.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $250.71 / $414.31	Professional		$248.84	$250.71	$414.31