Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.99 / $602.66 / $1,671.51	Facility		$238.99	$602.66	$1,671.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $242.22 / $387.55	Professional		$180.86	$242.22	$387.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.85 / $1,046.39 / $1,811.81	Facility		$419.85	$1,046.39	$1,811.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $397.24 / $452.14	Professional		$5.50	$397.24	$452.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $372.14	Facility		$322.95	$322.95	$372.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.17 / $705.33 / $1,509.53	Facility		$259.17	$705.33	$1,509.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $263.11 / $544.89	Professional		$171.17	$263.11	$544.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.74 / $1,534.06 / $1,534.06	Facility		$516.74	$1,534.06	$1,534.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.86 / $322.95 / $355.26	Facility		$180.86	$322.95	$355.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $322.95 / $322.95	Professional		$290.66	$322.95	$322.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.78 / $322.95 / $891.72	Facility		$193.78	$322.95	$891.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $290.66 / $535.29	Professional		$171.17	$290.66	$535.29
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $185.05 / $266.36	Professional		$135.63	$185.05	$266.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $159.49 / $322.95	Professional		$125.95	$159.49	$322.95