Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $189.37 / $255.66	Facility		$117.36	$189.37	$255.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $164.01	Professional		$117.36	$118.53	$164.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.31 / $301.97 / $571.49	Facility		$119.31	$301.97	$571.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $114.06 / $114.06	Professional		$114.06	$114.06	$114.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $40,316.72 / $40,316.72 / $40,316.72	Facility		$40,316.72	$40,316.72	$40,316.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $117.36	Facility		$110.72	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.93 / $582.35 / $586.79	Facility		$154.93	$582.35	$586.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $167.82 / $172.86	Facility		$117.19	$167.82	$172.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $117.36 / $212.83	Professional		$87.89	$117.36	$212.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $169.50	Facility		$110.72	$117.36	$169.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $117.36 / $209.00	Professional		$110.96	$117.36	$209.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $115.47 / $158.44	Professional		$115.47	$115.47	$158.44