Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $575.44	Facility		$144.54	$251.19	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $147.91	Professional		$112.20	$120.23	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $371.54	Facility		$72.44	$194.98	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $346.74	Facility		$141.25	$204.17	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $144.54	Professional		$100.00	$134.90	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $467.74	Facility		$141.25	$173.78	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91