Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.78 / $532.88 / $1,585.73	Facility		$193.78	$532.88	$1,585.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $238.99 / $387.55	Professional		$180.86	$238.99	$387.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $826.78 / $1,669.70	Facility		$290.66	$826.78	$1,669.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Facility		$322.95	$322.95	$322.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $648.44 / $1,429.44	Facility		$225.68	$648.44	$1,429.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $370.87 / $491.99	Professional		$171.17	$370.87	$491.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.74 / $1,534.06 / $1,534.06	Facility		$516.74	$1,534.06	$1,534.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $322.95 / $390.78	Facility		$213.15	$322.95	$390.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $322.95 / $322.95	Professional		$290.66	$322.95	$322.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.07 / $322.95 / $591.02	Facility		$226.07	$322.95	$591.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $290.66 / $376.79	Professional		$171.17	$290.66	$376.79
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $150.72 / $251.20	Professional		$135.63	$150.72	$251.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $125.95 / $322.95	Professional		$5.95	$125.95	$322.95