Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $248.63 / $403.68	Facility		$127.73	$248.63	$403.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $248.63 / $275.98	Professional		$211.34	$248.63	$275.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $413.16 / $816.20	Facility		$163.24	$413.16	$816.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.56 / $242.56 / $242.56	Professional		$242.56	$242.56	$242.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $147.88 / $147.88	Facility		$147.88	$147.88	$147.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $236.20 / $613.50 / $855.60	Facility		$236.20	$613.50	$855.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $248.63 / $355.54	Facility		$248.63	$248.63	$355.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $232.20 / $355.54	Facility		$190.26	$232.20	$355.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
United Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $410.24 / $410.24	Facility		$410.24	$410.24	$410.24
United Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $244.64 / $248.63	Professional		$196.95	$244.64	$248.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $194.07 / $261.99	Professional		$194.07	$194.07	$261.99