Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.71 / $232.38 / $900.58	Facility		$113.71	$232.38	$900.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $132.66 / $227.41	Professional		$94.76	$132.66	$227.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $528.73 / $985.45	Facility		$189.51	$528.73	$985.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $233.10 / $265.31	Professional		$5.50	$233.10	$265.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $189.51 / $189.51	Facility		$60.25	$189.51	$189.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $245.24 / $762.48	Facility		$62.39	$245.24	$762.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $96.00 / $275.00	Professional		$34.96	$96.00	$275.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.81 / $900.17 / $900.17	Facility		$314.81	$900.17	$900.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.76 / $189.51 / $203.25	Facility		$94.76	$189.51	$203.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $189.51 / $189.51	Professional		$72.52	$189.51	$189.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.02 / $189.51 / $322.75	Facility		$73.02	$189.51	$322.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $67.59 / $189.51	Professional		$34.96	$67.59	$189.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $79.59 / $113.71	Professional		$29.92	$79.59	$113.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $75.80 / $189.51	Professional		$73.91	$75.80	$189.51