Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $350.40 / $982.00	Facility		$132.00	$350.40	$982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $132.00 / $162.00	Professional		$112.00	$132.00	$162.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $64.65 / $108.03	Facility		$22.30	$64.65	$108.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
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 $130.00 / $469.39 / $890.82	Facility		$130.00	$469.39	$890.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $243.41 / $291.63	Professional		$243.41	$243.41	$291.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $950.00 / $950.00	Facility		$320.00	$950.00	$950.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $996.00 / $1,500.00	Professional		$996.00	$996.00	$1,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $200.00 / $292.64	Facility		$120.00	$200.00	$292.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $250.00	Professional		$200.00	$200.00	$250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $200.20 / $720.39	Facility		$128.00	$200.20	$720.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $242.00 / $350.00	Professional		$188.91	$242.00	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $123.20	Professional		$84.00	$84.00	$123.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $78.00 / $200.00	Professional		$13.28	$78.00	$200.00