Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.53 / $126.53 / $136.65	Facility		$126.53	$126.53	$136.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $136.65 / $253.06	Professional		$126.53	$136.65	$253.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $137.54 / $137.54	Professional		$137.54	$137.54	$137.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $289.00 / $289.00 / $289.00	Facility		$289.00	$289.00	$289.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $170.54	Professional		$124.49	$124.49	$170.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $545.87 / $1,456.51 / $1,456.51	Facility		$545.87	$1,456.51	$1,456.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.77 / $1,746.77 / $2,729.33	Professional		$1,746.77	$1,746.77	$2,729.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $201.42 / $289.00	Facility		$87.90	$201.42	$289.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $260.10 / $318.54	Professional		$88.90	$260.10	$318.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $193.12 / $289.00	Facility		$87.90	$193.12	$289.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $175.66	Professional		$124.49	$124.49	$175.66
United Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $167.86 / $205.15	Professional		$113.47	$167.86	$205.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $166.74 / $289.00	Professional		$165.15	$166.74	$289.00