Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.98 / $384.98 / $936.65	Facility		$384.98	$384.98	$936.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $415.77 / $769.95	Professional		$384.98	$415.77	$769.95
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 $418.47 / $418.47 / $523.57	Professional		$418.47	$418.47	$523.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $879.31 / $879.31 / $879.31	Facility		$879.31	$879.31	$879.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $528.74	Professional		$385.98	$385.98	$528.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,189.10 / $4,467.28 / $4,467.28	Facility		$4,189.10	$4,467.28	$4,467.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $6,015.15	Professional		$4,528.81	$4,528.81	$6,015.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $660.15 / $879.31	Facility		$258.31	$660.15	$879.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $808.97 / $879.31	Professional		$261.22	$808.97	$879.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $587.53 / $879.31	Facility		$258.31	$587.53	$879.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $637.64	Professional		$385.98	$385.98	$637.64
United Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $493.25 / $607.08	Professional		$333.44	$493.25	$607.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $485.31 / $510.00 / $879.31	Professional		$485.31	$510.00	$879.31