Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.62 / $223.62 / $241.50	Facility		$223.62	$223.62	$241.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.73 / $241.50 / $447.23	Professional		$205.73	$241.50	$447.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.12 / $304.12 / $304.12	Professional		$304.12	$304.12	$304.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $510.75 / $510.75 / $510.75	Facility		$510.75	$510.75	$510.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $299.52	Professional		$218.65	$218.65	$299.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,143.81 / $2,414.09 / $2,414.09	Facility		$2,143.81	$2,414.09	$2,414.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,528.21 / $2,528.21 / $3,595.13	Professional		$2,528.21	$2,528.21	$3,595.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $355.93 / $510.75	Facility		$131.52	$355.93	$510.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $459.68 / $510.75	Professional		$133.01	$459.68	$510.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $341.26 / $510.75	Facility		$131.52	$341.26	$510.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $308.51	Professional		$218.65	$218.65	$308.51
United Facility/Professional Facility Modifier Low / Median / High Price $462.82 / $462.82 / $544.49	Facility		$462.82	$462.82	$544.49
United Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $251.15 / $311.76	Professional		$169.78	$251.15	$311.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $247.10 / $510.75	Professional		$245.26	$247.10	$510.75