Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $104.21 / $1,154.52	Facility		$81.01	$104.21	$1,154.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $104.21 / $234.83	Professional		$81.01	$104.21	$234.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $54.73 / $121.77	Professional		$17.75	$54.73	$121.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $121.95 / $127.86	Facility		$114.80	$121.95	$127.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.87 / $617.64 / $1,571.27	Facility		$249.87	$617.64	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $156.11 / $297.49	Professional		$99.48	$156.11	$297.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $294.51 / $1,229.45 / $1,229.45	Facility		$294.51	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $906.00 / $1,047.30	Professional		$906.00	$906.00	$1,047.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.84 / $174.10 / $249.15	Facility		$115.84	$174.10	$249.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $199.07 / $282.48	Professional		$115.08	$199.07	$282.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $201.38 / $710.20	Facility		$121.32	$201.38	$710.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $156.11 / $303.72	Professional		$104.81	$156.11	$303.72
United Facility/Professional Facility Modifier Low / Median / High Price $230.89 / $716.53 / $866.23	Facility		$230.89	$716.53	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $145.88 / $212.42	Professional		$110.13	$145.88	$212.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $115.08 / $163.78	Professional		$102.97	$115.08	$163.78