Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $154.82 / $231.07	Professional		$116.81	$154.82	$231.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $905.62 / $1,044.48	Facility		$269.52	$905.62	$1,044.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $17.89 / $17.89	Professional		$16.10	$17.89	$17.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $247.09 / $247.09 / $324.14	Facility		$247.09	$247.09	$324.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $260.27	Facility		$166.31	$166.31	$260.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $218.29	Professional		$141.36	$166.31	$218.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $382.59 / $1,193.68 / $1,193.68	Facility		$382.59	$1,193.68	$1,193.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $225.88 / $324.14	Facility		$102.96	$225.88	$324.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $227.32 / $324.14	Professional		$29.83	$227.32	$324.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $188.42 / $324.14	Facility		$102.96	$188.42	$324.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $218.29	Professional		$141.36	$166.31	$218.29
United Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $155.05 / $228.79	Professional		$106.39	$155.05	$228.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.99 / $202.08 / $202.08	Professional		$190.99	$202.08	$202.08