Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $137.80 / $383.13	Facility		$54.88	$137.80	$383.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $55.06 / $94.38	Professional		$39.33	$55.06	$94.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $239.10 / $423.14	Facility		$85.73	$239.10	$423.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $78.65 / $78.65	Facility		$45.60	$78.65	$78.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $129.84 / $348.00	Facility		$47.21	$129.84	$348.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $40.11 / $114.00	Professional		$26.46	$40.11	$114.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.45 / $373.59 / $373.59	Facility		$214.45	$373.59	$373.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.05 / $78.65 / $86.52	Facility		$55.05	$78.65	$86.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $78.65 / $78.65	Professional		$54.88	$78.65	$78.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.76 / $78.65 / $180.35	Facility		$49.76	$78.65	$180.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $40.11 / $78.65	Professional		$25.36	$40.11	$78.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $33.03 / $47.19	Professional		$22.64	$33.03	$47.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $31.46 / $78.65	Professional		$30.67	$31.46	$78.65