Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $192.20 / $533.09	Facility		$76.22	$192.20	$533.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $76.22 / $123.60	Professional		$57.68	$76.22	$123.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $356.38 / $670.74	Facility		$123.60	$356.38	$670.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $54.59 / $92.70	Professional		$5.00	$54.59	$92.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $103.00 / $118.70	Facility		$103.00	$103.00	$118.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $199.58 / $536.77	Facility		$71.98	$199.58	$536.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $69.15 / $173.97	Professional		$54.59	$69.15	$173.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $489.25 / $489.25	Facility		$215.00	$489.25	$489.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $103.00 / $131.41	Facility		$78.28	$103.00	$131.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $103.00 / $127.56	Professional		$97.20	$103.00	$127.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $103.00 / $256.64	Facility		$78.28	$103.00	$256.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $78.73 / $149.38	Professional		$54.59	$78.73	$149.38
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $59.35 / $88.50	Professional		$43.26	$59.35	$88.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $50.87 / $103.00	Professional		$40.17	$50.87	$103.00