Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,691.53 / $12,302.69	Facility		$181.97	$2,691.53	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $363.08	Professional		$181.97	$208.93	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $426.58 / $426.58	Facility		$79.43	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Professional		$316.23	$316.23	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,162.28	Professional		$2,818.38	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $549.54	Facility		$186.21	$363.08	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $537.03	Professional		$181.97	$234.42	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $549.54	Facility		$186.21	$346.74	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Professional		$316.23	$316.23	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $323.59	Facility		$158.49	$275.42	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $323.59	Professional		$173.78	$257.04	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $426.58	Professional		$257.04	$426.58	$426.58