Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.94 / $204.30 / $566.66	Facility		$46.94	$204.30	$566.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $81.02 / $213.51	Professional		$54.75	$81.02	$213.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.10 / $343.80 / $598.91	Facility		$128.10	$343.80	$598.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $134.66 / $153.29	Professional		$5.50	$134.66	$153.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $109.49 / $109.49	Facility		$92.54	$109.49	$109.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $185.67 / $466.08	Facility		$76.51	$185.67	$466.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $60.11 / $166.75	Professional		$52.78	$60.11	$166.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $520.08 / $520.08	Facility		$191.51	$520.08	$520.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $109.49 / $132.47	Facility		$76.64	$109.49	$132.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $109.49 / $109.49	Professional		$93.07	$109.49	$109.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $109.49 / $222.26	Facility		$76.64	$109.49	$222.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $67.14 / $109.49	Professional		$52.78	$67.14	$109.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $47.78 / $65.69	Professional		$45.95	$47.78	$65.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $43.80 / $109.49	Professional		$42.70	$43.80	$109.49