Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $183.09 / $557.48	Facility		$68.66	$183.09	$557.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $80.09 / $108.71	Professional		$64.08	$80.09	$108.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $114.43 / $114.43	Professional		$97.27	$114.43	$114.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Facility		$114.43	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $262.26 / $510.32	Facility		$75.31	$262.26	$510.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $139.59 / $174.49	Professional		$60.65	$139.59	$174.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $543.54 / $543.54	Facility		$183.09	$543.54	$543.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.08 / $114.43 / $125.87	Facility		$64.08	$114.43	$125.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $114.43 / $114.43	Professional		$102.99	$114.43	$114.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.08 / $114.43 / $143.04	Facility		$64.08	$114.43	$143.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $108.71 / $120.72	Professional		$88.11	$108.71	$120.72
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $74.38	Professional		$48.06	$48.06	$74.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $31.92 / $114.43	Professional		$25.21	$31.92	$114.43