Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $289.36 / $390.19	Professional		$219.22	$289.36	$390.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.32 / $1,398.84 / $1,613.32	Facility		$416.32	$1,398.84	$1,613.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $27.63 / $27.63	Professional		$27.63	$27.63	$27.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Facility		$500.68	$500.68	$500.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $488.47	Facility		$307.55	$307.55	$488.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $580.50	Professional		$261.42	$261.42	$580.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $841.14 / $2,352.03 / $2,378.23	Facility		$841.14	$2,352.03	$2,378.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $317.32 / $500.68	Facility		$137.07	$317.32	$500.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $375.56 / $500.68	Professional		$50.09	$375.56	$500.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $307.55 / $500.68	Facility		$137.07	$307.55	$500.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $261.42 / $391.88	Professional		$137.07	$261.42	$391.88
United Facility/Professional Professional Modifier Low / Median / High Price $175.91 / $230.95 / $304.61	Professional		$175.91	$230.95	$304.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.52 / $368.60 / $368.60	Professional		$319.52	$368.60	$368.60