Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $276.95 / $768.10	Facility		$109.82	$276.95	$768.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $109.82 / $178.09	Professional		$83.11	$109.82	$178.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.09 / $513.50 / $966.45	Facility		$178.09	$513.50	$966.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $78.66 / $118.73	Professional		$5.00	$78.66	$118.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $171.01	Facility		$148.41	$148.41	$171.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $275.73 / $743.05	Facility		$103.70	$275.73	$743.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $95.77 / $248.57	Professional		$78.66	$95.77	$248.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $704.95 / $704.95	Facility		$311.00	$704.95	$704.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $148.41 / $186.66	Facility		$112.79	$148.41	$186.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $148.41 / $193.40	Professional		$133.57	$148.41	$193.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $148.41 / $369.92	Facility		$112.79	$148.41	$369.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $113.34 / $212.59	Professional		$78.66	$113.34	$212.59
United Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $62.33 / $148.41	Facility		$53.43	$62.33	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $85.04 / $121.18	Professional		$62.33	$85.04	$121.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $73.29 / $148.41	Professional		$57.88	$73.29	$148.41