Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $204.17 / $602.56	Facility		$56.23	$204.17	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $125.89	Professional		$60.26	$87.10	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $588.84	Facility		$128.82	$346.74	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $144.54 / $154.88	Professional		$5.50	$144.54	$154.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $109.65	Facility		$93.33	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $186.21 / $467.74	Facility		$89.13	$186.21	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $165.96	Professional		$52.48	$57.54	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $363.08	Facility		$67.61	$109.65	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $114.82	Professional		$64.57	$89.13	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $91.20	Professional		$32.36	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $288.40	Facility		$75.86	$109.65	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $158.49	Professional		$52.48	$60.26	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $109.65	Facility		$39.81	$54.95	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $69.18	Professional		$45.71	$47.86	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65