Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $224.00 / $1,795.32	Facility		$128.34	$224.00	$1,795.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $163.27 / $311.72	Professional		$128.34	$163.27	$311.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.86 / $160.63	Professional		$34.44	$34.86	$160.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.71 / $179.12 / $201.94	Facility		$175.71	$179.12	$201.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.80 / $729.33 / $1,571.27	Facility		$333.80	$729.33	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $214.60 / $361.39	Professional		$149.69	$214.60	$361.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.76 / $1,229.45 / $1,229.45	Facility		$414.76	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.44 / $1,484.44 / $1,602.68	Professional		$1,484.44	$1,484.44	$1,602.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.20 / $234.62 / $364.28	Facility		$176.20	$234.62	$364.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $304.76 / $446.95	Professional		$176.11	$304.76	$446.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.53 / $267.02 / $909.64	Facility		$183.53	$267.02	$909.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $216.60 / $366.80	Professional		$152.33	$216.60	$366.80
United Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $192.99 / $311.95	Professional		$161.46	$192.99	$311.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $176.11 / $250.79	Professional		$157.63	$176.11	$250.79