Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $406.17	Facility		$376.09	$376.09	$406.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $406.17 / $752.17	Professional		$359.31	$406.17	$752.17
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 $408.80 / $408.80 / $408.80	Professional		$408.80	$408.80	$408.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $858.99 / $858.99 / $858.99	Facility		$858.99	$858.99	$858.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $402.56	Professional		$293.87	$293.87	$402.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,426.32 / $3,601.96 / $3,601.96	Facility		$1,426.32	$3,601.96	$3,601.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,252.00 / $4,252.00 / $6,442.43	Professional		$4,252.00	$4,252.00	$6,442.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $598.63 / $858.99	Facility		$207.50	$598.63	$858.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.84 / $773.09 / $858.99	Professional		$209.84	$773.09	$858.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $573.95 / $858.99	Facility		$207.50	$573.95	$858.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $414.64	Professional		$293.87	$293.87	$414.64
United Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $396.22 / $490.68	Professional		$267.83	$396.22	$490.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.84 / $391.77 / $858.99	Professional		$389.84	$391.77	$858.99