Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.15 / $327.62 / $419.14	Facility		$200.15	$327.62	$419.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $297.64 / $319.94	Professional		$245.33	$297.64	$319.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $228.02 / $483.21	Facility		$83.45	$228.02	$483.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $151.24 / $151.24	Professional		$151.24	$151.24	$151.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.56 / $298.56 / $298.56	Facility		$298.56	$298.56	$298.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $294.69 / $294.69	Facility		$278.01	$294.69	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $2,184.28 / $2,184.28	Facility		$510.00	$2,184.28	$2,184.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $294.69 / $434.05	Facility		$2.67	$294.69	$434.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $294.69 / $534.13	Professional		$145.74	$294.69	$534.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $294.69 / $421.41	Facility		$6.89	$294.69	$421.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.47 / $294.69 / $331.28	Professional		$278.47	$294.69	$331.28
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $183.03 / $397.83	Professional		$183.03	$183.03	$397.83