Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.87 / $151.22 / $1,595.25	Facility		$117.87	$151.22	$1,595.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $151.22 / $288.41	Professional		$117.87	$151.22	$288.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.82 / $509.01 / $822.40	Facility		$210.82	$509.01	$822.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $78.65 / $194.76	Professional		$39.06	$78.65	$194.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.65 / $163.63 / $212.68	Facility		$155.65	$163.63	$212.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.76 / $841.33 / $1,571.27	Facility		$367.76	$841.33	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $214.89 / $410.64	Professional		$135.37	$214.89	$410.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $378.04 / $1,229.45 / $1,229.45	Facility		$378.04	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.32 / $1,162.32 / $1,418.93	Professional		$1,162.32	$1,162.32	$1,418.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $214.21 / $357.07	Facility		$157.72	$214.21	$357.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $270.06 / $409.64	Professional		$155.99	$270.06	$409.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.02 / $269.67 / $994.20	Facility		$168.02	$269.67	$994.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $221.01 / $416.88	Professional		$142.41	$221.01	$416.88
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $223.76 / $348.02	Professional		$170.71	$223.76	$348.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $155.99 / $222.36	Professional		$139.69	$155.99	$222.36