Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.29 / $3,445.00 / $10,836.00	Facility		$123.29	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $117.71 / $180.34	Professional		$83.89	$117.71	$180.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $112.76 / $448.71	Facility		$62.56	$112.76	$448.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $129.50 / $190.80	Professional		$86.10	$129.50	$190.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $85.82 / $151.82	Facility		$85.82	$85.82	$151.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $148.81 / $225.98	Professional		$103.14	$148.81	$225.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $499.46	Facility		$55.00	$55.00	$499.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $731.36 / $1,051.11 / $1,237.73	Professional		$731.36	$1,051.11	$1,237.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $137.30 / $208.23	Facility		$96.10	$137.30	$208.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $184.10 / $264.72	Professional		$123.73	$184.10	$264.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $137.04 / $212.25	Facility		$96.10	$137.04	$212.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $155.76 / $259.85	Professional		$107.19	$155.76	$259.85
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 $111.79 / $147.31 / $220.34	Professional		$111.79	$147.31	$220.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $137.40 / $192.13	Professional		$121.47	$137.40	$192.13