Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $49.15 / $297.75	Facility		$38.19	$49.15	$297.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $48.14 / $90.85	Professional		$32.63	$48.14	$90.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $202.72 / $344.78	Facility		$85.10	$202.72	$344.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $62.35 / $62.35	Professional		$62.35	$62.35	$62.35
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 Facility Modifier Low / Median / High Price $90.93 / $191.94 / $436.06	Facility		$90.93	$191.94	$436.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $78.13 / $162.04	Professional		$51.08	$78.13	$162.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.58 / $657.32 / $856.54	Facility		$336.58	$657.32	$856.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $620.54 / $1,030.64 / $1,322.78	Professional		$620.54	$1,030.64	$1,322.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $80.76 / $213.18	Facility		$52.87	$80.76	$213.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $104.70 / $188.94	Professional		$104.70	$104.70	$188.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $93.40 / $258.44	Facility		$54.66	$93.40	$258.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $77.41 / $162.04	Professional		$53.82	$77.41	$162.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,977.00 / $1,977.00 / $1,977.00	Professional		$1,977.00	$1,977.00	$1,977.00