Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $7,316.00	Facility		$425.00	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $128.88 / $221.81	Professional		$71.63	$128.88	$221.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.99 / $578.11 / $1,396.19	Facility		$329.99	$578.11	$1,396.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $161.08 / $189.50	Professional		$79.56	$161.08	$189.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $95.93	Facility		$95.93	$95.93	$95.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $552.40 / $552.40 / $552.40	Facility		$552.40	$552.40	$552.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $766.55 / $891.83 / $1,613.10	Professional		$766.55	$891.83	$1,613.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $177.06 / $338.77	Facility		$89.98	$177.06	$338.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $207.44 / $330.02	Professional		$137.93	$207.44	$330.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $181.90 / $440.18	Facility		$89.98	$181.90	$440.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $332.46	Professional		$173.49	$173.49	$332.46
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $277.01 / $425.78	Professional		$199.21	$277.01	$425.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $181.90 / $256.00	Professional		$160.94	$181.90	$256.00