Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $199.53	Professional		$67.61	$89.13	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
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 Professional Modifier Low / Median / High Price $107.15 / $134.90 / $436.52	Professional		$107.15	$134.90	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $794.33	Professional		$660.69	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $144.54 / $3,890.45	Facility		$61.66	$144.54	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $245.47	Professional		$67.61	$89.13	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $181.97	Facility		$69.18	$102.33	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $436.52	Professional		$91.20	$162.18	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $144.54	Professional		$70.79	$93.33	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13