Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $204.05 / $293.83	Facility		$195.89	$204.05	$293.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $195.89 / $204.05	Professional		$163.24	$195.89	$204.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $283.73 / $699.77	Facility		$159.40	$283.73	$699.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $159.40 / $159.40	Professional		$159.40	$159.40	$159.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $130.40	Facility		$130.40	$130.40	$130.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.32 / $492.01 / $596.22	Facility		$218.32	$492.01	$596.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.96 / $195.89 / $291.79	Facility		$109.96	$195.89	$291.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $99.34 / $244.50	Professional		$99.34	$99.34	$244.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $280.12	Facility		$179.39	$179.39	$280.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $179.39 / $179.39	Professional		$142.19	$179.39	$179.39
United Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $194.68 / $194.68	Professional		$156.72	$194.68	$194.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $237.60	Professional		$176.00	$176.00	$237.60