Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.40 / $184.70 / $315.39	Facility		$111.40	$184.70	$315.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $140.50 / $175.63	Professional		$133.46	$140.50	$175.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $278.70 / $583.76	Facility		$102.71	$278.70	$583.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $136.97 / $136.97	Professional		$136.97	$136.97	$136.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $59.77 / $59.77	Facility		$59.77	$59.77	$59.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.27 / $281.00 / $526.88	Facility		$175.27	$281.00	$526.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $133.47 / $200.92	Facility		$34.90	$133.47	$200.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $133.47	Professional		$126.24	$126.24	$133.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $131.13 / $200.92	Facility		$60.81	$131.13	$200.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $133.47	Professional		$131.13	$131.13	$133.47
United Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $138.15 / $140.50	Professional		$111.23	$138.15	$140.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $120.12 / $180.18	Professional		$120.12	$120.12	$180.18