Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $198.05 / $573.00	Facility		$76.42	$198.05	$573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $78.54 / $127.37	Professional		$59.44	$78.54	$127.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $314.50 / $584.83	Facility		$115.69	$314.50	$584.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $58.38 / $148.60	Professional		$5.00	$58.38	$148.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $106.14 / $106.14	Facility		$59.80	$106.14	$106.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.01 / $175.23 / $469.46	Facility		$72.01	$175.23	$469.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $54.11 / $161.59	Professional		$43.05	$54.11	$161.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.56 / $504.17 / $504.17	Facility		$246.56	$504.17	$504.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $106.14 / $116.75	Facility		$74.30	$106.14	$116.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $106.14 / $106.14	Professional		$90.22	$106.14	$106.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $106.14 / $243.47	Facility		$74.30	$106.14	$243.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $54.11 / $106.14	Professional		$41.21	$54.11	$106.14
United Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $44.58 / $67.20	Professional		$36.89	$44.58	$67.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $42.46 / $106.14	Professional		$41.39	$42.46	$106.14