Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $184.33 / $717.30	Facility		$105.33	$184.33	$717.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $172.74 / $543.50	Facility		$105.33	$172.74	$543.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $105.33 / $105.33	Professional		$63.20	$105.33	$105.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $79.61 / $105.33	Facility		$79.61	$79.61	$105.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $72.69 / $240.39	Facility		$71.62	$72.69	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $105.33 / $131.65	Professional		$71.66	$105.33	$131.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $378.15 / $378.15	Facility		$126.40	$378.15	$378.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $79.61 / $105.33	Facility		$67.67	$79.61	$105.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $79.61 / $718.20	Professional		$67.67	$79.61	$718.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $79.61 / $105.33	Facility		$71.62	$79.61	$105.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $79.61 / $105.33	Professional		$61.30	$79.61	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $44.26 / $64.59	Professional		$41.74	$44.26	$64.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $6.00 / $79.61	Professional		$5.85	$6.00	$79.61