Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $3,445.00 / $10,836.00	Facility		$134.66	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $136.74 / $206.35	Professional		$98.04	$136.74	$206.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $128.30 / $523.44	Facility		$76.05	$128.30	$523.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $126.14 / $185.49	Professional		$88.06	$126.14	$185.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $93.97 / $168.11	Facility		$93.97	$93.97	$168.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $168.14 / $257.75	Professional		$114.46	$168.14	$257.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $548.72	Facility		$55.00	$55.00	$548.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.96 / $1,160.80 / $1,372.65	Professional		$802.96	$1,160.80	$1,372.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $152.40 / $236.52	Facility		$104.95	$152.40	$236.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $202.76 / $293.01	Professional		$136.26	$202.76	$293.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $152.03 / $237.74	Facility		$104.95	$152.03	$237.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $175.11 / $289.07	Professional		$120.24	$175.11	$289.07
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $163.85 / $249.22	Professional		$122.89	$163.85	$249.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $152.03 / $212.54	Professional		$134.44	$152.03	$212.54