Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $137.41 / $1,446.57	Facility		$107.11	$137.41	$1,446.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $137.41 / $249.57	Professional		$107.11	$137.41	$249.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.11 / $409.76 / $684.31	Facility		$185.11	$409.76	$684.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $40.67 / $168.54	Professional		$21.31	$40.67	$168.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.82 / $148.08 / $166.99	Facility		$140.82	$148.08	$166.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.04 / $824.76 / $1,571.27	Facility		$352.04	$824.76	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $181.14 / $372.00	Professional		$121.52	$181.14	$372.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $359.96 / $1,229.45 / $1,229.45	Facility		$359.96	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.01 / $1,057.01 / $1,294.50	Professional		$1,057.01	$1,057.01	$1,294.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $177.86 / $322.06	Facility		$138.54	$177.86	$322.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $244.98 / $372.33	Professional		$141.00	$244.98	$372.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $222.75 / $951.75	Facility		$141.21	$222.75	$951.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $190.59 / $393.93	Professional		$127.26	$190.59	$393.93
United Facility/Professional Facility Modifier Low / Median / High Price $301.85 / $309.16 / $325.67	Facility		$301.85	$309.16	$325.67
United Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $187.77 / $273.04	Professional		$140.11	$187.77	$273.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $141.00 / $201.62	Professional		$126.71	$141.00	$201.62