Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $90.43 / $115.02	Facility		$75.56	$90.43	$115.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $95.92 / $125.50	Professional		$47.72	$95.92	$125.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.16 / $720.62 / $1,354.55	Facility		$287.16	$720.62	$1,354.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $246.72 / $536.17	Facility		$37.86	$246.72	$536.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $125.94 / $214.30	Professional		$96.18	$125.94	$214.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.36 / $263.24 / $535.23	Facility		$234.36	$263.24	$535.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $626.73 / $661.77 / $943.88	Professional		$626.73	$661.77	$943.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $110.58 / $203.47	Facility		$66.51	$110.58	$203.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $118.26 / $118.26	Professional		$118.26	$118.26	$118.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $113.04 / $214.47	Facility		$66.51	$113.04	$214.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $123.20 / $190.97	Professional		$87.27	$123.20	$190.97
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $89.59 / $142.35	Professional		$67.19	$89.59	$142.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $81.62 / $107.19	Professional		$60.46	$81.62	$107.19