Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $128.08 / $178.35	Professional		$94.53	$128.08	$178.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $653.52 / $753.76	Facility		$194.50	$653.52	$753.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.90 / $12.90	Professional		$12.13	$12.90	$12.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $409.66 / $409.66	Facility		$196.21	$409.66	$409.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $203.75	Facility		$130.68	$130.68	$203.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $171.51	Professional		$111.08	$130.68	$171.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $948.67	Facility		$937.40	$937.40	$948.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $158.72 / $233.92	Facility		$133.96	$158.72	$233.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $175.43 / $233.92	Professional		$21.52	$175.43	$233.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $133.96 / $233.92	Facility		$130.68	$133.96	$233.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $171.51	Professional		$111.08	$130.68	$171.51
United Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $110.03 / $158.97	Professional		$80.53	$110.03	$158.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $159.02 / $159.02	Professional		$151.79	$159.02	$159.02