Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $377.34 / $1,503.40	Facility		$204.61	$377.34	$1,503.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $206.66 / $287.30	Professional		$204.61	$206.66	$287.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $482.13 / $956.26	Facility		$190.49	$482.13	$956.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $203.60 / $203.60	Professional		$203.60	$203.60	$203.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,410.44 / $1,410.44 / $1,410.44	Facility		$1,410.44	$1,410.44	$1,410.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $204.61	Facility		$193.03	$204.61	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $204.61	Professional		$200.06	$204.61	$204.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $920.75 / $1,023.05 / $1,026.20	Facility		$920.75	$1,023.05	$1,026.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $206.66 / $292.58	Facility		$204.61	$206.66	$292.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $208.70 / $282.44	Professional		$204.61	$208.70	$282.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $204.61 / $214.84	Facility		$195.36	$204.61	$214.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $221.98	Professional		$200.06	$204.61	$221.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $204.61	Professional		$81.84	$204.61	$204.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $205.56 / $230.19	Professional		$204.61	$205.56	$230.19