Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $249.89 / $700.31	Facility		$94.14	$249.89	$700.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $94.14 / $121.24	Professional		$79.87	$94.14	$121.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.01 / $327.64 / $635.64	Facility		$95.01	$327.64	$635.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $173.80 / $208.23	Professional		$75.59	$173.80	$208.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $677.49 / $677.49	Facility		$228.21	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $713.15 / $1,069.73	Professional		$713.15	$713.15	$1,069.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $142.63 / $200.56	Facility		$85.58	$142.63	$200.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $142.63 / $178.29	Professional		$135.50	$142.63	$178.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $149.78 / $513.49	Facility		$96.88	$149.78	$513.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $171.16 / $205.39	Professional		$114.10	$171.16	$205.39
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $91.28	Professional		$59.90	$59.90	$91.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $55.63 / $142.63	Professional		$19.88	$55.63	$142.63