Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $87.64 / $965.07	Facility		$68.13	$87.64	$965.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $87.64 / $205.01	Professional		$68.13	$87.64	$205.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $234.74 / $394.63	Facility		$101.58	$234.74	$394.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $94.78 / $118.20	Professional		$27.43	$94.78	$118.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $101.14 / $105.90	Facility		$96.04	$101.14	$105.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.17 / $531.36 / $1,571.27	Facility		$212.17	$531.36	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $132.69 / $238.89	Professional		$83.21	$132.69	$238.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $301.87 / $1,229.45 / $1,229.45	Facility		$301.87	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $839.89 / $865.09 / $875.78	Professional		$839.89	$865.09	$875.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.43 / $159.16 / $234.30	Facility		$97.43	$159.16	$234.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $166.52 / $237.56	Professional		$96.28	$166.52	$237.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $188.37 / $603.04	Facility		$101.90	$188.37	$603.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $139.25 / $243.98	Professional		$86.76	$139.25	$243.98
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $122.13 / $183.28	Professional		$92.64	$122.13	$183.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $96.28 / $137.00	Professional		$86.13	$96.28	$137.00