Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.14 / $95.14 / $102.75	Facility		$95.14	$95.14	$102.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $102.75 / $190.28	Professional		$95.14	$102.75	$190.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $129.38 / $129.38	Professional		$129.38	$129.38	$129.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $217.30 / $217.30	Facility		$217.30	$217.30	$217.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $171.65	Professional		$145.90	$145.90	$171.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $1,006.76 / $1,006.76	Facility		$363.15	$1,006.76	$1,006.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.36 / $1,090.36 / $1,582.20	Professional		$1,090.36	$1,090.36	$1,582.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $173.30 / $217.30	Facility		$112.45	$173.30	$217.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $199.92 / $217.30	Professional		$132.99	$199.92	$217.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $171.65 / $217.30	Facility		$122.36	$171.65	$217.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $175.42	Professional		$145.90	$145.90	$175.42
United Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $118.79 / $148.49	Professional		$80.30	$118.79	$148.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $170.35 / $217.30	Professional		$153.90	$170.35	$217.30