Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $163.99 / $417.60	Facility		$65.03	$163.99	$417.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $65.03 / $105.46	Professional		$49.21	$65.03	$105.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $274.19 / $482.09	Facility		$96.67	$274.19	$482.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $46.58 / $65.03	Professional		$5.00	$46.58	$65.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $87.88 / $87.88	Facility		$74.22	$87.88	$87.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $148.97 / $388.48	Facility		$61.41	$148.97	$388.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $47.78 / $133.71	Professional		$41.37	$47.78	$133.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $417.43 / $417.43	Facility		$195.11	$417.43	$417.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $87.88 / $105.46	Facility		$64.01	$87.88	$105.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $87.88 / $87.88	Professional		$79.09	$87.88	$87.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $87.88 / $201.39	Facility		$64.01	$87.88	$201.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $49.52 / $93.41	Professional		$41.37	$49.52	$93.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $37.79 / $55.36	Professional		$36.85	$37.79	$55.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $35.15 / $87.88	Professional		$34.27	$35.15	$87.88