Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.58 / $2,020.00 / $6,762.00	Facility		$196.58	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $150.62 / $217.14	Professional		$104.04	$150.62	$217.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $119.10 / $472.43	Facility		$66.95	$119.10	$472.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $156.25 / $254.69	Professional		$104.04	$156.25	$254.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $99.36 / $99.36	Facility		$99.36	$99.36	$99.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.57 / $122.57 / $122.57	Facility		$122.57	$122.57	$122.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $183.84 / $301.48	Professional		$122.22	$183.84	$301.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $550.57	Facility		$55.00	$55.00	$550.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $815.36 / $1,204.32 / $1,417.05	Professional		$815.36	$1,204.32	$1,417.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $173.34 / $295.31	Facility		$116.37	$173.34	$295.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $205.16 / $285.30	Professional		$143.38	$205.16	$285.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $174.28 / $316.91	Facility		$116.37	$174.28	$316.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $191.99 / $312.00	Professional		$125.11	$191.99	$312.00
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $169.31 / $280.38	Professional		$127.82	$169.31	$280.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $157.58 / $220.00	Professional		$139.13	$157.58	$220.00