Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $954.99	Facility		$70.79	$87.10	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $147.91	Professional		$79.43	$97.72	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $245.47 / $407.38	Facility		$109.65	$245.47	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $95.50 / $114.82	Professional		$26.92	$95.50	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Facility		$95.50	$95.50	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $489.78 / $1,288.25	Facility		$204.17	$489.78	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $245.47	Professional		$87.10	$141.25	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $245.47	Facility		$95.50	$154.88	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $257.04	Professional		$79.43	$131.83	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $630.96	Facility		$104.71	$181.97	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $239.88	Professional		$87.10	$128.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $831.76	Facility		$323.59	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $181.97	Professional		$93.33	$120.23	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71