Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $398.11 / $1,258.93	Facility		$177.83	$398.11	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $263.03	Professional		$169.82	$223.87	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $177.83 / $398.11 / $1,230.27	Facility		$177.83	$398.11	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Professional		$338.84	$338.84	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $512.86	Facility		$208.93	$275.42	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $331.13	Professional		$169.82	$223.87	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $758.58	Facility		$190.55	$275.42	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $275.42	Facility		$100.00	$114.82	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $275.42	Professional		$56.23	$56.23	$275.42