Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.67 / $913.00 / $2,029.00	Facility		$266.67	$913.00	$2,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $209.11 / $275.00	Professional		$171.00	$209.11	$275.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $662.77 / $1,065.50	Facility		$264.64	$662.77	$1,065.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $198.43 / $198.43	Professional		$168.67	$198.43	$198.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.50 / $500.00 / $1,246.95	Facility		$163.50	$500.00	$1,246.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $413.75 / $935.47	Professional		$413.75	$413.75	$935.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $2,613.82 / $2,613.82	Facility		$426.40	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,293.17 / $1,679.48	Professional		$1,293.17	$1,293.17	$1,679.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $227.07 / $455.81	Facility		$185.31	$227.07	$455.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $184.68 / $185.52	Professional		$184.68	$184.68	$185.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.74 / $242.81 / $547.07	Facility		$192.74	$242.81	$547.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $413.75 / $935.47	Professional		$185.52	$413.75	$935.47
United Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $234.99 / $399.48	Professional		$197.80	$234.99	$399.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $195.18 / $262.29	Professional		$184.68	$195.18	$262.29