Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Facility		$173.78	$173.78	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $346.74	Professional		$173.78	$208.93	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $407.38 / $407.38	Facility		$79.43	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $3,890.45	Professional		$2,511.89	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $389.05 / $645.65	Facility		$125.89	$389.05	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $407.38	Professional		$173.78	$223.87	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Professional		$275.42	$275.42	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $616.60	Facility		$173.78	$346.74	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $446.68	Facility		$147.91	$295.12	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $295.12	Professional		$162.18	$245.47	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38