Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.80 / $453.04 / $621.22	Facility		$418.80	$453.04	$621.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.66 / $481.33 / $621.22	Professional		$329.66	$481.33	$621.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $120.54 / $246.99	Facility		$63.60	$120.54	$246.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $49.21 / $49.21	Professional		$49.21	$49.21	$49.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $738.10 / $738.10 / $738.10	Facility		$738.10	$738.10	$738.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $614.12	Facility		$255.74	$255.74	$614.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $255.74 / $255.74	Professional		$62.91	$255.74	$255.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.20 / $2,570.06 / $2,663.75	Facility		$1,126.20	$2,570.06	$2,663.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $318.83 / $653.46	Facility		$61.39	$318.83	$653.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $271.12 / $840.00	Professional		$67.91	$271.12	$840.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $318.83 / $621.22	Facility		$66.98	$318.83	$621.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $255.74 / $263.41	Professional		$56.76	$255.74	$263.41
United Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $337.79 / $642.15	Professional		$262.01	$337.79	$642.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $441.90 / $480.38	Professional		$441.90	$441.90	$480.38