Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.41 / $2,124.00 / $7,316.00	Facility		$242.41	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $150.96 / $242.90	Professional		$96.58	$150.96	$242.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $180.02 / $721.31	Facility		$98.62	$180.02	$721.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $157.09 / $254.25	Professional		$88.21	$157.09	$254.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $100.05 / $208.68	Facility		$100.05	$100.05	$208.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $188.49 / $291.89	Professional		$116.42	$188.49	$291.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $571.04	Facility		$55.00	$55.00	$571.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,433.60 / $1,695.08	Professional		$1,236.00	$1,433.60	$1,695.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.29 / $174.67 / $279.74	Facility		$102.29	$174.67	$279.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $222.54 / $349.92	Professional		$139.09	$222.54	$349.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.12 / $174.67 / $284.05	Facility		$102.12	$174.67	$284.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $200.91 / $328.05	Professional		$121.12	$200.91	$328.05
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $192.36 / $283.20	Professional		$141.60	$192.36	$283.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $186.47 / $261.06	Professional		$165.91	$186.47	$261.06