Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $109.53 / $163.47	Professional		$81.94	$109.53	$163.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.66 / $633.90 / $731.12	Facility		$188.66	$633.90	$731.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.52 / $12.52	Professional		$11.27	$12.52	$12.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.64 / $175.64 / $226.91	Facility		$175.64	$175.64	$226.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $182.59	Facility		$115.51	$115.51	$182.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $151.61	Professional		$98.18	$115.51	$151.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $265.74 / $829.11 / $829.11	Facility		$265.74	$829.11	$829.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $158.10 / $260.10	Facility		$72.06	$158.10	$260.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $161.59 / $226.91	Professional		$20.87	$161.59	$226.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $131.88 / $226.91	Facility		$72.06	$131.88	$226.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $151.61	Professional		$98.18	$115.51	$151.61
United Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $108.32 / $160.15	Professional		$72.28	$108.32	$160.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $140.29 / $140.29	Professional		$133.69	$140.29	$140.29