Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $279.93 / $361.07	Professional		$200.02	$279.93	$361.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.47 / $1,463.51 / $1,635.49	Facility		$438.47	$1,463.51	$1,635.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $29.30 / $29.30	Professional		$29.30	$29.30	$29.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $455.61 / $455.61 / $504.67	Facility		$455.61	$455.61	$504.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $446.97	Facility		$229.50	$229.50	$446.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $393.05	Professional		$195.08	$229.50	$393.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $767.73 / $2,149.42 / $2,323.32	Facility		$767.73	$2,149.42	$2,323.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $344.99 / $504.67	Facility		$160.30	$344.99	$504.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $378.52 / $504.67	Professional		$46.40	$378.52	$504.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $308.33 / $504.67	Facility		$160.30	$308.33	$504.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $330.17	Professional		$195.08	$229.50	$330.17
United Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $239.44 / $356.22	Professional		$185.92	$239.44	$356.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.38 / $345.47 / $345.47	Professional		$304.38	$345.47	$345.47