Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $281.84 / $870.96	Facility		$120.23	$281.84	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $213.80	Professional		$114.82	$154.88	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $346.74 / $851.14	Facility		$134.90	$346.74	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $354.81	Professional		$102.33	$234.42	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $380.19	Facility		$128.82	$204.17	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $245.47	Professional		$114.82	$154.88	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $478.63	Facility		$128.82	$245.47	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $245.47	Professional		$97.72	$173.78	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $245.47	Facility		$89.13	$104.71	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $144.54	Professional		$81.28	$87.10	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $245.47	Professional		$75.86	$75.86	$245.47