Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.09 / $290.16 / $813.15	Facility		$120.09	$290.16	$813.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $122.55 / $198.73	Professional		$98.28	$122.55	$198.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $526.64 / $990.35	Facility		$199.05	$526.64	$990.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $165.61 / $165.61	Facility		$155.66	$165.61	$165.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $299.08 / $805.19	Facility		$115.72	$299.08	$805.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $99.36 / $252.45	Professional		$84.48	$99.36	$252.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.16 / $786.65 / $786.65	Facility		$288.16	$786.65	$786.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $165.61 / $207.01	Facility		$120.62	$165.61	$207.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $165.61 / $167.28	Professional		$156.51	$165.61	$167.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $165.61 / $380.24	Facility		$120.62	$165.61	$380.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $103.83 / $193.53	Professional		$84.48	$103.83	$193.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $78.00 / $110.31	Professional		$69.56	$78.00	$110.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $66.72 / $165.61	Professional		$64.59	$66.72	$165.61