Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $305.44 / $1,607.30	Facility		$181.22	$305.44	$1,607.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $183.03 / $259.27	Professional		$181.21	$183.03	$259.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $338.01 / $674.68	Facility		$138.94	$338.01	$674.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $61.17 / $61.17	Professional		$61.17	$61.17	$61.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $647.03 / $647.03 / $647.03	Facility		$647.03	$647.03	$647.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $181.22 / $181.22	Facility		$170.96	$181.22	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $887.98 / $906.10	Facility		$258.00	$887.98	$906.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $258.14 / $274.63	Facility		$175.82	$258.14	$274.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $181.22 / $328.34	Professional		$131.87	$181.22	$328.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $181.22 / $261.73	Facility		$170.96	$181.22	$261.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.18 / $181.22 / $314.64	Professional		$171.18	$181.22	$314.64
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.84 / $173.84 / $244.65	Professional		$173.84	$173.84	$244.65