Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $125.43 / $347.86	Facility		$50.81	$125.43	$347.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $49.74 / $80.65	Professional		$37.64	$49.74	$80.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.41 / $218.24 / $402.59	Facility		$91.41	$218.24	$402.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $53.77	Professional		$5.00	$5.50	$53.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.45	Facility		$67.20	$67.20	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $123.21 / $315.99	Facility		$46.97	$123.21	$315.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $42.16 / $105.87	Professional		$34.18	$42.16	$105.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $319.25 / $319.25	Facility		$148.47	$319.25	$319.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $67.20 / $84.49	Facility		$51.08	$67.20	$84.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $67.20 / $87.59	Professional		$60.49	$67.20	$87.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $67.20 / $167.46	Facility		$51.08	$67.20	$167.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $51.75 / $97.10	Professional		$34.18	$51.75	$97.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $38.72 / $54.88	Professional		$28.23	$38.72	$54.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $33.19 / $67.20	Professional		$26.21	$33.19	$67.20