Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $95.13 / $852.20	Facility		$67.04	$95.13	$852.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $86.21 / $208.14	Professional		$67.04	$86.21	$208.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $244.94 / $407.56	Facility		$102.91	$244.94	$407.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $47.44 / $114.99	Professional		$24.86	$47.44	$114.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $99.14 / $103.87	Facility		$94.45	$99.14	$103.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.82 / $531.36 / $1,571.27	Facility		$209.82	$531.36	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $121.81 / $220.07	Professional		$79.69	$121.81	$220.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.41 / $1,229.45 / $1,229.45	Facility		$326.41	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $907.42 / $934.65 / $934.65	Professional		$907.42	$934.65	$934.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $145.28 / $251.26	Facility		$94.66	$145.28	$251.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $163.85 / $233.75	Professional		$94.66	$163.85	$233.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $191.25 / $596.34	Facility		$99.39	$191.25	$596.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $129.51 / $220.07	Professional		$81.87	$129.51	$220.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $107.90 / $181.61	Professional		$85.46	$107.90	$181.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $94.66 / $134.80	Professional		$84.75	$94.66	$134.80