Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $234.18 / $649.54	Facility		$92.87	$234.18	$649.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $90.05 / $150.60	Professional		$70.28	$90.05	$150.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.43 / $406.62 / $751.75	Facility		$170.43	$406.62	$751.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $66.52 / $94.81	Professional		$5.00	$66.52	$94.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $144.61	Facility		$125.50	$125.50	$144.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.70 / $230.06 / $558.63	Facility		$87.70	$230.06	$558.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $78.48 / $191.01	Professional		$62.92	$78.48	$191.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $596.13 / $596.13	Facility		$263.00	$596.13	$596.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $125.50 / $157.81	Facility		$91.40	$125.50	$157.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $125.50 / $155.41	Professional		$118.60	$125.50	$155.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $125.50 / $312.77	Facility		$91.40	$125.50	$312.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $95.57 / $181.29	Professional		$59.42	$95.57	$181.29
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $71.80 / $106.64	Professional		$52.71	$71.80	$106.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $61.98 / $125.50	Professional		$48.95	$61.98	$125.50