Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.66 / $239.66 / $258.83	Facility		$239.66	$239.66	$258.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.66 / $258.83 / $479.31	Professional		$239.66	$258.83	$479.31
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 $260.51 / $260.51 / $325.93	Professional		$260.51	$260.51	$325.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $547.39 / $547.39 / $547.39	Facility		$547.39	$547.39	$547.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $388.32	Professional		$330.07	$330.07	$388.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,338.92 / $2,524.25 / $2,524.25	Facility		$2,338.92	$2,524.25	$2,524.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.82 / $2,746.82 / $3,985.65	Professional		$2,746.82	$2,746.82	$3,985.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $402.31 / $547.39	Facility		$156.69	$402.31	$547.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $503.60 / $547.39	Professional		$156.69	$503.60	$547.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $388.32 / $547.39	Facility		$156.69	$388.32	$547.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $399.97	Professional		$330.07	$330.07	$399.97
United Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $299.20 / $365.74	Professional		$202.27	$299.20	$365.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $427.50 / $547.39	Professional		$319.70	$427.50	$547.39