Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $162.28 / $432.40	Facility		$64.34	$162.28	$432.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $64.34 / $104.35	Professional		$48.70	$64.34	$104.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $304.36 / $566.28	Facility		$113.05	$304.36	$566.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $47.83 / $69.56	Professional		$5.00	$47.83	$69.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $86.96 / $100.20	Facility		$86.96	$86.96	$100.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.77 / $179.56 / $461.69	Facility		$60.77	$179.56	$461.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $59.81 / $146.62	Professional		$46.09	$59.81	$146.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $413.06 / $413.06	Facility		$182.00	$413.06	$413.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $86.96 / $113.05	Facility		$63.33	$86.96	$113.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $86.96 / $107.68	Professional		$82.23	$86.96	$107.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $86.96 / $218.18	Facility		$63.33	$86.96	$218.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $66.95 / $124.56	Professional		$46.09	$66.95	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $49.75 / $71.95	Professional		$36.52	$49.75	$71.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $42.94 / $86.96	Professional		$33.90	$42.94	$86.96