Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $122.65 / $183.06	Professional		$97.02	$122.65	$183.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.95 / $886.91 / $1,022.92	Facility		$263.95	$886.91	$1,022.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $17.55 / $17.55	Professional		$15.16	$17.55	$17.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.26 / $175.26 / $317.45	Facility		$175.26	$175.26	$317.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $209.58	Facility		$123.59	$123.59	$209.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $162.21	Professional		$105.05	$123.59	$162.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.86 / $886.11 / $922.40	Facility		$326.86	$886.11	$922.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $198.16 / $317.45	Facility		$100.84	$198.16	$317.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $175.26 / $317.45	Professional		$29.30	$175.26	$317.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $162.91 / $317.45	Facility		$100.84	$162.91	$317.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $155.94	Professional		$105.05	$123.59	$155.94
United Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $136.66 / $181.50	Professional		$79.66	$136.66	$181.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $148.43 / $149.65	Professional		$148.43	$148.43	$149.65