Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.24 / $357.24 / $385.82	Facility		$357.24	$357.24	$385.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $385.82 / $714.48	Professional		$356.93	$385.82	$714.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $485.85 / $485.85	Professional		$485.85	$485.85	$485.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $815.95 / $815.95 / $815.95	Facility		$815.95	$815.95	$815.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $525.23	Professional		$383.42	$383.42	$525.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.52 / $3,779.52 / $3,779.52	Facility		$1,363.52	$3,779.52	$3,779.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,086.44 / $4,086.44 / $5,941.20	Professional		$4,086.44	$4,086.44	$5,941.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $633.74 / $815.95	Facility		$245.20	$633.74	$815.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $734.36 / $815.95	Professional		$245.20	$734.36	$815.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $612.58 / $815.95	Facility		$245.20	$612.58	$815.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $658.68	Professional		$383.42	$383.42	$658.68
United Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $445.91 / $557.40	Professional		$301.43	$445.91	$557.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.73 / $440.91 / $815.95	Professional		$438.73	$440.91	$815.95