Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.32 / $790.68 / $1,172.83	Facility		$764.32	$790.68	$1,172.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.43 / $907.36 / $1,238.73	Professional		$698.43	$907.36	$1,238.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $212.74 / $436.43	Facility		$119.08	$212.74	$436.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $83.02 / $83.02	Professional		$83.02	$83.02	$83.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,504.90 / $1,504.90 / $1,504.90	Facility		$1,504.90	$1,504.90	$1,504.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $102.81	Professional		$84.85	$84.85	$102.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $2,074.00	Facility		$80.00	$100.00	$2,074.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.32 / $150.49 / $1,051.60	Facility		$102.32	$150.49	$1,051.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $176.54 / $1,477.30	Professional		$117.79	$176.54	$1,477.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $150.49 / $932.87	Facility		$99.82	$150.49	$932.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $131.01	Professional		$84.85	$99.82	$131.01
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $83.81 / $675.90	Professional		$62.39	$83.81	$675.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.29 / $1,250.00 / $1,250.00	Professional		$914.29	$1,250.00	$1,250.00