Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $684.67 / $905.15	Facility		$392.09	$684.67	$905.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $396.01 / $437.59	Professional		$392.09	$396.01	$437.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.51 / $975.73 / $1,923.69	Facility		$385.51	$975.73	$1,923.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.01 / $405.01 / $405.01	Professional		$405.01	$405.01	$405.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.29 / $215.29 / $215.29	Facility		$215.29	$215.29	$215.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $392.09	Facility		$369.90	$392.09	$392.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Professional		$392.09	$392.09	$401.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $591.73 / $1,973.75 / $1,973.75	Facility		$591.73	$1,973.75	$1,973.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.44 / $393.87 / $497.95	Facility		$119.44	$393.87	$497.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $399.93 / $566.23	Professional		$392.09	$399.93	$566.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.08 / $392.09 / $411.69	Facility		$148.08	$392.09	$411.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $425.86	Professional		$392.09	$392.09	$425.86
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $392.09	Professional		$156.84	$392.09	$392.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $395.26 / $529.32	Professional		$392.09	$395.26	$529.32