Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $213.80 / $676.08	Facility		$93.33	$213.80	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $165.96	Professional		$89.13	$120.23	$165.96
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 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $660.69	Facility		$109.65	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $288.40	Professional		$79.43	$239.88	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,479.11	Professional		$1,000.00	$1,479.11	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $346.74	Facility		$112.20	$177.83	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $204.17	Professional		$89.13	$120.23	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $489.78	Facility		$112.20	$199.53	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $288.40	Professional		$79.43	$173.78	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $83.18 / $199.53	Facility		$70.79	$83.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $107.15	Professional		$63.10	$69.18	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $199.53 / $199.53	Professional		$57.54	$199.53	$199.53