Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $307.70 / $2,035.94	Facility		$162.68	$307.70	$2,035.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $206.55 / $389.03	Professional		$162.68	$206.55	$389.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.51 / $596.89 / $967.71	Facility		$244.51	$596.89	$967.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $91.76 / $274.58	Professional		$55.04	$91.76	$274.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $223.37 / $250.25	Facility		$219.39	$223.37	$250.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.79 / $961.01 / $1,571.27	Facility		$393.79	$961.01	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $253.98 / $483.38	Professional		$188.68	$253.98	$483.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.58 / $1,283.11 / $1,283.11	Facility		$468.58	$1,283.11	$1,283.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.02 / $1,605.02 / $2,007.68	Professional		$1,605.02	$1,605.02	$2,007.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.18 / $255.23 / $461.75	Facility		$199.18	$255.23	$461.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $381.07 / $565.73	Professional		$219.79	$381.07	$565.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $305.64 / $1,054.10	Facility		$205.10	$305.64	$1,054.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $264.31 / $492.63	Professional		$191.07	$264.31	$492.63
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $576.99 / $866.23	Facility		$377.12	$576.99	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $259.02 / $395.18	Professional		$184.56	$259.02	$395.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $219.79 / $313.67	Professional		$197.11	$219.79	$313.67