Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.43 / $293.43 / $316.89	Facility		$293.43	$293.43	$316.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $327.05 / $586.85	Professional		$293.43	$327.05	$586.85
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 $318.95 / $399.06 / $399.06	Professional		$318.95	$399.06	$399.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $670.20 / $670.20 / $670.20	Facility		$670.20	$670.20	$670.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $418.79	Professional		$305.72	$305.72	$418.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.43 / $3,451.92 / $3,451.92	Facility		$1,354.43	$3,451.92	$3,451.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,683.44 / $3,683.44 / $5,026.50	Professional		$3,683.44	$3,683.44	$5,026.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $470.20 / $670.20	Facility		$215.86	$470.20	$670.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $611.04 / $744.13	Professional		$218.29	$611.04	$744.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $447.81 / $670.20	Facility		$215.86	$447.81	$670.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $446.44	Professional		$305.72	$305.72	$446.44
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $278.63 / $412.19 / $510.45	Professional		$278.63	$412.19	$510.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $448.79 / $670.20	Professional		$405.55	$448.79	$670.20