Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $283.62 / $769.25	Facility		$108.46	$283.62	$769.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $119.79 / $194.26	Professional		$90.65	$119.79	$194.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.07 / $485.64 / $908.15	Facility		$178.07	$485.64	$908.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $89.03 / $113.32	Professional		$5.00	$89.03	$113.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $161.88 / $161.88	Facility		$83.02	$161.88	$161.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $267.26 / $716.96	Facility		$85.18	$267.26	$716.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $82.64 / $235.00	Professional		$45.02	$82.64	$235.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $768.93 / $768.93	Facility		$259.01	$768.93	$768.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $161.88 / $178.07	Facility		$105.22	$161.88	$178.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $161.88 / $161.88	Professional		$137.60	$161.88	$161.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.49 / $161.88 / $353.54	Facility		$94.49	$161.88	$353.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $82.64 / $161.88	Professional		$45.02	$82.64	$161.88
United Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $67.98 / $97.13	Professional		$41.22	$67.98	$97.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $64.75 / $161.88	Professional		$63.13	$64.75	$161.88