Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.33 / $295.33 / $318.95	Facility		$295.33	$295.33	$318.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $318.95 / $590.65	Professional		$295.33	$318.95	$590.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.02 / $321.02 / $401.64	Professional		$321.02	$321.02	$401.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $674.54 / $674.54 / $674.54	Facility		$674.54	$674.54	$674.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $434.07	Professional		$316.87	$316.87	$434.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.33 / $3,124.60 / $3,124.60	Facility		$1,127.33	$3,124.60	$3,124.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,378.23 / $3,378.23 / $4,911.89	Professional		$3,378.23	$3,378.23	$4,911.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $506.41 / $674.54	Facility		$193.05	$506.41	$674.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.23 / $607.09 / $674.54	Professional		$195.23	$607.09	$674.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $450.71 / $674.54	Facility		$193.05	$450.71	$674.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $485.72	Professional		$316.87	$316.87	$485.72
United Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $368.65 / $450.71	Professional		$249.20	$368.65	$450.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.71 / $403.13 / $674.54	Professional		$362.71	$403.13	$674.54