Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $2,511.89	Facility		$141.25	$269.15	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $295.12	Professional		$151.36	$190.55	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $562.34 / $891.25	Facility		$245.47	$562.34	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $173.78 / $223.87	Professional		$31.62	$173.78	$223.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Facility		$190.55	$190.55	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $776.25 / $1,288.25	Facility		$371.54	$776.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $426.58	Professional		$147.91	$218.78	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,778.28	Professional		$1,348.96	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $416.87	Facility		$154.88	$229.09	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $467.74	Professional		$151.36	$257.04	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $162.18	Professional		$22.39	$33.11	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $977.24	Facility		$165.96	$281.84	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $426.58	Professional		$154.88	$218.78	$426.58
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 $147.91 / $223.87 / $338.84	Professional		$147.91	$223.87	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Professional		$208.93	$208.93	$218.78