Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.06 / $788.34 / $1,169.36	Facility		$762.06	$788.34	$1,169.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.37 / $906.59 / $1,235.07	Professional		$696.37	$906.59	$1,235.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $212.11 / $435.17	Facility		$118.73	$212.11	$435.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $82.78	Professional		$71.42	$71.42	$82.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,500.60 / $1,500.60 / $1,500.60	Facility		$1,500.60	$1,500.60	$1,500.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $109.54	Professional		$93.11	$93.11	$109.54
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 $102.02 / $150.06 / $1,048.49	Facility		$102.02	$150.06	$1,048.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $176.54 / $1,477.30	Professional		$117.44	$176.54	$1,477.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $150.06 / $998.56	Facility		$105.93	$150.06	$998.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $142.21	Professional		$93.11	$93.11	$142.21
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $83.81 / $634.42	Professional		$62.39	$83.81	$634.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.29 / $1,284.27 / $1,284.27	Professional		$914.29	$1,284.27	$1,284.27