Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.88 / $513.79 / $1,425.13	Facility		$215.88	$513.79	$1,425.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $206.51 / $245.44	Professional		$154.19	$206.51	$245.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $275.35 / $275.35	Professional		$275.35	$275.35	$275.35
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 $178.98 / $646.24 / $1,227.51	Facility		$178.98	$646.24	$1,227.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.34 / $335.34 / $401.77	Professional		$335.34	$335.34	$401.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $440.56 / $1,307.91 / $1,307.91	Facility		$440.56	$1,307.91	$1,307.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.24 / $1,371.24 / $2,065.13	Professional		$1,371.24	$1,371.24	$2,065.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.21 / $275.35 / $402.96	Facility		$165.21	$275.35	$402.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $275.35 / $344.19	Professional		$275.35	$275.35	$344.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $275.63 / $992.09	Facility		$184.38	$275.63	$992.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.13 / $333.17 / $481.86	Professional		$260.13	$333.17	$481.86
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $115.65 / $176.22	Professional		$115.65	$115.65	$176.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $275.35	Professional		$63.35	$63.35	$275.35