Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $1,479.11	Facility		$194.98	$446.68	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $354.81	Professional		$194.98	$257.04	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $758.58 / $1,659.59	Facility		$309.03	$758.58	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 $229.09 / $588.84 / $1,445.44	Facility		$229.09	$588.84	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $467.74	Professional		$169.82	$389.05	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $2,398.83	Professional		$1,621.81	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $602.56	Facility		$245.47	$331.13	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $407.38	Professional		$194.98	$257.04	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $954.99	Facility		$229.09	$346.74	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $602.56	Professional		$169.82	$354.81	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $323.59	Facility		$117.49	$134.90	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $223.87	Professional		$134.90	$151.36	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $323.59 / $323.59	Professional		$125.89	$323.59	$323.59