Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.00 / $1,683.00 / $3,500.00	Facility		$1,683.00	$1,683.00	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $108.54 / $182.00	Professional		$69.54	$108.54	$182.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $110.08 / $173.66	Professional		$66.58	$110.08	$173.66
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 Professional Modifier Low / Median / High Price $82.84 / $130.26 / $233.68	Professional		$82.84	$130.26	$233.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $347.04 / $347.04	Facility		$183.24	$347.04	$347.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.12 / $589.58 / $943.13	Professional		$521.12	$589.58	$943.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $107.45 / $158.13	Facility		$69.00	$107.45	$158.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $137.06 / $197.37	Professional		$89.99	$137.06	$197.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $108.54 / $185.66	Facility		$69.00	$108.54	$185.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $134.02 / $205.38	Professional		$86.54	$134.02	$205.38
United Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $117.13 / $212.54	Professional		$100.17	$117.13	$212.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $106.09 / $109.54	Professional		$93.58	$106.09	$109.54