Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.26 / $386.26 / $417.16	Facility		$386.26	$386.26	$417.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $417.16 / $772.52	Professional		$386.26	$417.16	$772.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.30 / $525.30 / $525.30	Professional		$525.30	$525.30	$525.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $882.24 / $882.24 / $882.24	Facility		$882.24	$882.24	$882.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $624.54	Professional		$455.91	$455.91	$624.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,474.25 / $4,086.48 / $4,086.48	Facility		$1,474.25	$4,086.48	$4,086.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,418.01 / $4,418.01 / $6,423.90	Professional		$4,418.01	$4,418.01	$6,423.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $662.32 / $882.24	Facility		$252.48	$662.32	$882.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.34 / $794.02 / $882.24	Professional		$255.34	$794.02	$882.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $624.54 / $882.24	Facility		$252.48	$624.54	$882.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $665.79	Professional		$455.91	$455.91	$665.79
United Facility/Professional Professional Modifier Low / Median / High Price $325.92 / $482.13 / $589.46	Professional		$325.92	$482.13	$589.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $476.72 / $882.24	Professional		$474.36	$476.72	$882.24