Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.96 / $152.96 / $1,491.00	Facility		$152.96	$152.96	$1,491.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $170.49 / $305.91	Professional		$152.96	$170.49	$305.91
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $349.36 / $349.36 / $349.36	Facility		$349.36	$349.36	$349.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.77 / $1,974.81 / $1,974.81	Facility		$1,623.77	$1,974.81	$1,974.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.60 / $1,995.60 / $2,762.25	Professional		$1,995.60	$1,995.60	$2,762.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $245.11 / $349.36	Facility		$109.76	$245.11	$349.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $314.42 / $368.63	Professional		$111.00	$314.42	$368.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $250.05 / $349.36	Facility		$109.76	$250.05	$349.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $226.68 / $261.98	Facility		$130.99	$226.68	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $209.59 / $256.16	Professional		$141.68	$209.59	$256.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $206.21 / $349.36	Professional		$204.67	$206.21	$349.36