Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $183.74 / $1,967.13	Facility		$135.27	$183.74	$1,967.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $173.44 / $357.56	Professional		$135.27	$173.44	$357.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.45 / $514.32 / $847.94	Facility		$216.45	$514.32	$847.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $142.38 / $217.18	Professional		$25.49	$142.38	$217.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.39 / $204.41 / $221.71	Facility		$192.39	$204.41	$221.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.13 / $785.28 / $1,571.27	Facility		$374.13	$785.28	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $216.26 / $423.41	Professional		$149.63	$216.26	$423.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $406.84 / $1,229.45 / $1,229.45	Facility		$406.84	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.29 / $1,334.29 / $1,766.78	Professional		$1,334.29	$1,334.29	$1,766.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $214.25 / $383.95	Facility		$141.00	$214.25	$383.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.65 / $334.64 / $469.79	Professional		$192.65	$334.64	$469.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $259.83 / $1,006.99	Facility		$162.31	$259.83	$1,006.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $219.55 / $430.81	Professional		$163.75	$219.55	$430.81
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 $149.13 / $224.12 / $352.05	Professional		$149.13	$224.12	$352.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $192.65 / $275.47	Professional		$173.09	$192.65	$275.47