Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $306.58 / $644.63	Facility		$156.74	$306.58	$644.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $366.62	Professional		$257.99	$271.57	$366.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $467.73 / $924.00	Facility		$184.80	$467.73	$924.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.25 / $235.25 / $235.25	Professional		$235.25	$235.25	$235.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Facility		$110.43	$110.43	$110.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $543.14 / $1,018.39	Facility		$279.89	$543.14	$1,018.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $271.57 / $1,071.18	Facility		$151.61	$271.57	$1,071.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $243.93 / $280.80	Professional		$148.75	$243.93	$280.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.98 / $253.60 / $388.35	Facility		$214.98	$253.60	$388.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $257.99	Professional		$253.60	$253.60	$257.99
United Facility/Professional Professional Modifier Low / Median / High Price $245.09 / $304.43 / $304.43	Professional		$245.09	$304.43	$304.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $232.19 / $348.29	Professional		$232.19	$232.19	$348.29