Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.53 / $408.53 / $650.25	Facility		$408.53	$408.53	$650.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $441.21 / $817.06	Professional		$378.08	$441.21	$817.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $444.07 / $555.60	Professional		$444.07	$444.07	$555.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $933.10 / $933.10 / $933.10	Facility		$933.10	$933.10	$933.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.17 / $4,062.38 / $4,062.38	Facility		$1,489.17	$4,062.38	$4,062.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,638.25 / $4,638.25 / $6,841.20	Professional		$4,638.25	$4,638.25	$6,841.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $650.29 / $933.10	Facility		$255.12	$650.29	$933.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $839.79 / $937.02	Professional		$258.00	$839.79	$937.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $650.29 / $933.10	Facility		$255.12	$650.29	$933.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $725.06	Professional		$598.35	$598.35	$725.06
United Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $487.16 / $608.95	Professional		$329.32	$487.16	$608.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.31 / $600.00 / $933.10	Professional		$479.31	$600.00	$933.10