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 / $287.70	Professional		$81.01	$104.21	$287.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $46.29 / $137.29	Professional		$23.76	$46.29	$137.29
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 $314.33 / $669.31 / $1,701.41	Facility		$314.33	$669.31	$1,701.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $170.83 / $406.64	Professional		$100.39	$170.83	$406.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $362.71 / $1,229.45 / $1,229.45	Facility		$362.71	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.68 / $1,841.31 / $1,841.31	Professional		$1,787.68	$1,841.31	$1,841.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.84 / $218.14 / $398.54	Facility		$115.84	$218.14	$398.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $208.29 / $282.48	Professional		$115.08	$208.29	$282.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $278.41 / $893.39	Facility		$121.32	$278.41	$893.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $183.43 / $406.64	Professional		$104.81	$183.43	$406.64
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $168.49 / $259.12	Professional		$110.13	$168.49	$259.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $115.08 / $163.78	Professional		$102.97	$115.08	$163.78