Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $1,288.25	Facility		$173.78	$467.74	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $436.52	Professional		$158.49	$213.80	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $794.33 / $1,412.54	Facility		$177.83	$794.33	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $138.04 / $213.80	Professional		$5.01	$138.04	$213.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $501.19 / $1,230.27	Facility		$9.55	$501.19	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $436.52	Professional		$131.83	$269.15	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $467.74	Facility		$181.97	$245.47	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $323.59	Professional		$151.36	$218.78	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $707.95	Facility		$151.36	$251.19	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $436.52	Professional		$131.83	$234.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $251.19	Facility		$91.20	$112.20	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $213.80	Professional		$89.13	$104.71	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $251.19	Professional		$97.72	$97.72	$251.19