Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $176.27 / $360.65	Facility		$158.63	$176.27	$360.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $176.27 / $217.25	Professional		$149.83	$176.27	$217.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $306.12 / $604.75	Facility		$120.95	$306.12	$604.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $172.01 / $172.01	Professional		$172.01	$172.01	$172.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $117.73 / $117.73	Facility		$117.73	$117.73	$117.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $352.54 / $623.78	Facility		$167.46	$352.54	$623.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $176.27 / $252.07	Facility		$65.39	$176.27	$252.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $164.66 / $252.07	Facility		$139.51	$164.66	$252.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $164.66 / $164.66	Professional		$83.96	$164.66	$164.66
United Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $173.48 / $176.27	Professional		$139.66	$173.48	$176.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $141.51 / $191.04	Professional		$141.51	$141.51	$191.04