Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $143.32 / $302.02	Facility		$63.12	$143.32	$302.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $143.32 / $179.15	Professional		$127.54	$143.32	$179.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.48 / $284.69 / $562.40	Facility		$112.48	$284.69	$562.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $140.47 / $140.47	Professional		$140.47	$140.47	$140.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $84.53 / $84.53	Facility		$84.53	$84.53	$84.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.15 / $286.64 / $512.54	Facility		$136.15	$286.64	$512.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $143.32 / $204.95	Facility		$65.39	$143.32	$204.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $61.80	Professional		$59.00	$59.00	$61.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $134.47 / $204.95	Facility		$110.54	$134.47	$204.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $134.47 / $134.47	Professional		$83.96	$134.47	$134.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $135.66 / $141.66	Professional		$114.06	$135.66	$141.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $109.89 / $116.81	Professional		$81.40	$109.89	$116.81