Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $776.25	Facility		$104.71	$275.42	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $181.97	Professional		$93.33	$120.23	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $537.03 / $933.25	Facility		$181.97	$537.03	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $81.28 / $117.49	Professional		$5.01	$81.28	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $169.82	Facility		$147.91	$147.91	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $302.00 / $794.33	Facility		$144.54	$302.00	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $251.19	Professional		$79.43	$89.13	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $275.42	Facility		$112.20	$147.91	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $194.98	Professional		$89.13	$134.90	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $125.89	Professional		$112.20	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $436.52	Facility		$112.20	$162.18	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $251.19	Professional		$79.43	$89.13	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $89.13 / $147.91	Facility		$53.70	$89.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $128.82	Professional		$61.66	$87.10	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $147.91	Professional		$57.54	$57.54	$147.91