Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $196.25 / $550.02	Facility		$84.68	$196.25	$550.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $82.89 / $105.30	Professional		$67.20	$82.89	$105.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $112.02 / $112.02	Professional		$95.22	$112.02	$112.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $112.02 / $112.02	Facility		$112.02	$112.02	$112.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $223.89 / $499.77	Facility		$73.72	$223.89	$499.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $136.69 / $170.88	Professional		$59.37	$136.69	$170.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.23 / $532.10 / $532.10	Facility		$179.23	$532.10	$532.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $112.02 / $123.22	Facility		$69.45	$112.02	$123.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $112.02 / $112.02	Professional		$100.82	$112.02	$112.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.01 / $256.41 / $594.60	Facility		$75.01	$256.41	$594.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $106.42 / $118.18	Professional		$86.26	$106.42	$118.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $67.20	Professional		$47.05	$47.05	$67.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.91 / $112.02	Professional		$6.74	$6.91	$112.02