Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $140.47 / $1,530.09	Facility		$109.42	$140.47	$1,530.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $138.75 / $258.82	Professional		$109.42	$138.75	$258.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $446.72 / $730.85	Facility		$170.48	$446.72	$730.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $47.61 / $180.35	Professional		$27.97	$47.61	$180.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.13 / $151.63 / $170.94	Facility		$149.13	$151.63	$170.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $686.54 / $1,571.27	Facility		$295.38	$686.54	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $173.85 / $321.85	Professional		$125.82	$173.85	$321.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $1,229.45 / $1,229.45	Facility		$315.25	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.14 / $1,080.14 / $1,370.85	Professional		$1,080.14	$1,080.14	$1,370.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.76 / $173.64 / $310.58	Facility		$132.76	$173.64	$310.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $259.38 / $380.71	Professional		$149.34	$259.38	$380.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $203.96 / $799.57	Facility		$136.19	$203.96	$799.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $177.83 / $330.48	Professional		$130.07	$177.83	$330.48
United Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $173.25 / $264.74	Professional		$122.40	$173.25	$264.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $149.34 / $213.45	Professional		$134.16	$149.34	$213.45