Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $206.87 / $223.41	Facility		$206.87	$206.87	$223.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $223.41 / $413.73	Professional		$206.87	$223.41	$413.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $472.48 / $472.48 / $472.48	Facility		$472.48	$472.48	$472.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $294.27	Professional		$214.82	$214.82	$294.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $2,188.60 / $2,188.60	Facility		$789.63	$2,188.60	$2,188.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.19 / $2,366.19 / $3,440.48	Professional		$2,366.19	$2,366.19	$3,440.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $329.28 / $472.48	Facility		$135.22	$329.28	$472.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $425.23 / $472.48	Professional		$136.75	$425.23	$472.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $315.70 / $472.48	Facility		$135.22	$315.70	$472.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $313.72	Professional		$214.82	$214.82	$313.72
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $279.27 / $322.77	Facility		$161.38	$279.27	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $258.22 / $315.70	Professional		$174.55	$258.22	$315.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $282.38 / $472.48	Professional		$254.13	$282.38	$472.48