Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $288.40 / $912.01	Facility		$128.82	$288.40	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $194.98	Professional		$123.03	$147.91	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $69.18 / $109.65	Facility		$23.99	$69.18	$109.65
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 $128.82 / $288.40 / $891.25	Facility		$128.82	$288.40	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $1,513.56	Professional		$1,000.00	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $371.54	Facility		$151.36	$199.53	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $239.88	Professional		$123.03	$158.49	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $549.54	Facility		$128.82	$199.53	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $346.74	Professional		$181.97	$218.78	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $83.18 / $199.53	Facility		$72.44	$83.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $199.53 / $199.53	Professional		$77.62	$199.53	$199.53