Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.58 / $667.22 / $1,841.92	Facility		$264.58	$667.22	$1,841.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $268.17 / $429.07	Professional		$200.23	$268.17	$429.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.83 / $1,158.49 / $2,005.91	Facility		$464.83	$1,158.49	$2,005.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $196.66 / $475.55	Professional		$5.00	$196.66	$475.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $357.56 / $412.00	Facility		$357.56	$357.56	$412.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.93 / $780.90 / $1,672.21	Facility		$286.93	$780.90	$1,672.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $291.33 / $602.88	Professional		$189.51	$291.33	$602.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.10 / $1,698.41 / $1,698.41	Facility		$572.10	$1,698.41	$1,698.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $357.56 / $393.32	Facility		$200.23	$357.56	$393.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $357.56 / $357.56	Professional		$321.80	$357.56	$357.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.54 / $357.56 / $987.25	Facility		$214.54	$357.56	$987.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $337.77 / $591.10	Professional		$189.51	$337.77	$591.10
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $204.57 / $294.89	Professional		$150.18	$204.57	$294.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $176.57 / $357.56	Professional		$139.44	$176.57	$357.56