Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $92.43 / $1,017.09	Facility		$71.87	$92.43	$1,017.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $92.43 / $232.14	Professional		$71.87	$92.43	$232.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $231.98 / $391.06	Facility		$102.04	$231.98	$391.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $76.09 / $123.24	Professional		$24.40	$76.09	$123.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $106.06 / $110.94	Facility		$101.05	$106.06	$110.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $559.38 / $1,571.27	Facility		$226.30	$559.38	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $139.47 / $259.74	Professional		$87.50	$139.47	$259.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.13 / $1,229.45 / $1,229.45	Facility		$368.13	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.53 / $1,062.47 / $1,062.47	Professional		$1,031.53	$1,062.47	$1,062.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $172.29 / $286.97	Facility		$102.68	$172.29	$286.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $175.07 / $250.51	Professional		$101.33	$175.07	$250.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.29 / $213.53 / $643.23	Facility		$107.29	$213.53	$643.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.51 / $259.74	Professional		$91.20	$147.51	$259.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $138.16 / $212.85	Professional		$97.86	$138.16	$212.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $101.33 / $144.06	Professional		$90.55	$101.33	$144.06