Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $854.53 / $1,102.15	Facility		$474.84	$854.53	$1,102.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $479.59 / $670.71	Professional		$474.83	$479.59	$670.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.26 / $1,575.67 / $3,143.88	Facility		$634.26	$1,575.67	$3,143.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.89 / $922.89 / $922.89	Professional		$922.89	$922.89	$922.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $666.62 / $666.62 / $666.62	Facility		$666.62	$666.62	$666.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $474.84 / $474.84	Facility		$447.96	$474.84	$474.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $975.89 / $2,358.15 / $2,374.19	Facility		$975.89	$2,358.15	$2,374.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.27 / $491.90 / $699.38	Facility		$176.27	$491.90	$699.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $368.93 / $474.84 / $871.13	Professional		$368.93	$474.84	$871.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.05 / $474.84 / $679.02	Facility		$285.05	$474.84	$679.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.73 / $474.84 / $860.71	Professional		$448.73	$474.84	$860.71
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $528.60 / $528.60	Professional		$474.84	$528.60	$528.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $481.29 / $641.03	Professional		$481.29	$481.29	$641.03