Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $1,584.89	Facility		$134.90	$245.47	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $288.40	Professional		$144.54	$177.83	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $154.88	Professional		$34.67	$34.67	$154.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Facility		$173.78	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $707.95 / $1,445.44	Facility		$316.23	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $380.19	Professional		$151.36	$229.09	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,584.89	Professional		$1,479.11	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $467.74	Facility		$169.82	$245.47	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $446.68	Professional		$147.91	$234.42	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $269.15 / $912.01	Facility		$177.83	$269.15	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $363.08	Professional		$158.49	$213.80	$363.08
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 $162.18 / $194.98 / $316.23	Professional		$162.18	$194.98	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Professional		$177.83	$177.83	$186.21