Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $118.31 / $136.08	Facility		$100.25	$118.31	$136.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $119.81 / $151.34	Professional		$29.72	$119.81	$151.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $125.11 / $202.03	Professional		$98.38	$125.11	$202.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $117.21 / $117.21	Facility		$113.37	$117.21	$117.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $18.26	Facility		$17.21	$17.21	$18.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $137.87 / $201.17	Professional		$105.46	$137.87	$201.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $567.23 / $679.82	Facility		$237.96	$567.23	$679.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $828.33 / $828.33 / $1,050.59	Professional		$828.33	$828.33	$1,050.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $128.63 / $178.55	Facility		$112.29	$128.63	$178.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $183.62 / $240.02	Professional		$120.01	$183.62	$240.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.77 / $128.03 / $174.73	Facility		$111.77	$128.03	$174.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $156.65 / $243.45	Professional		$108.52	$156.65	$243.45
United Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $126.50 / $183.34	Professional		$92.43	$126.50	$183.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $113.40 / $158.76	Professional		$102.42	$113.40	$158.76