Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $188.81 / $561.85	Facility		$68.66	$188.81	$561.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $80.09 / $107.56	Professional		$64.08	$80.09	$107.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Facility		$114.43	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $227.60 / $506.97	Facility		$74.38	$227.60	$506.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $131.75 / $174.49	Professional		$60.65	$131.75	$174.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $543.54 / $543.54	Facility		$183.09	$543.54	$543.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $114.43 / $138.46	Facility		$80.09	$114.43	$138.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $114.43 / $114.43	Professional		$102.99	$114.43	$114.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $114.43 / $206.78	Facility		$80.04	$114.43	$206.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $102.99 / $120.15	Professional		$60.65	$102.99	$120.15
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $68.66	Professional		$48.06	$48.06	$68.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $45.77 / $114.43	Professional		$44.63	$45.77	$114.43