Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $309.95 / $411.72	Professional		$220.67	$309.95	$411.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.11 / $1,616.53 / $1,864.40	Facility		$481.11	$1,616.53	$1,864.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $31.93 / $31.93	Professional		$31.93	$31.93	$31.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $518.45 / $518.45 / $578.62	Facility		$518.45	$518.45	$578.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $514.13	Facility		$347.16	$347.16	$514.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $455.65	Professional		$295.08	$347.16	$455.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $798.11 / $2,490.09 / $2,490.09	Facility		$798.11	$2,490.09	$2,490.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $351.58 / $578.62	Facility		$166.32	$351.58	$578.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $433.93 / $578.62	Professional		$53.25	$433.93	$578.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $347.16 / $578.62	Facility		$166.32	$347.16	$578.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $452.88	Professional		$295.08	$347.16	$452.88
United Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $266.89 / $375.54	Professional		$191.42	$266.89	$375.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $424.60 / $424.60	Professional		$369.25	$424.60	$424.60