Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $162.18 / $512.86	Facility		$67.61	$162.18	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $123.03	Professional		$67.61	$87.10	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $501.19	Facility		$72.44	$114.82	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $169.82	Professional		$112.20	$138.04	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $218.78	Facility		$74.13	$112.20	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $134.90	Professional		$69.18	$95.50	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $257.04	Facility		$67.61	$112.20	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $117.49	Professional		$79.43	$107.15	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $52.48 / $112.20	Facility		$40.74	$52.48	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $112.20	Professional		$46.77	$46.77	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $112.20	Professional		$6.76	$6.76	$112.20