Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $386.96 / $530.45	Facility		$243.61	$386.96	$530.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $246.04 / $255.79	Professional		$243.61	$246.04	$255.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $232.92 / $232.92	Professional		$232.92	$232.92	$232.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $243.79 / $243.79 / $243.79	Facility		$243.79	$243.79	$243.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $243.61 / $243.61	Facility		$229.82	$243.61	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $324.05 / $1,178.84 / $1,218.05	Facility		$324.05	$1,178.84	$1,218.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $243.15 / $255.79	Facility		$25.30	$243.15	$255.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.43 / $243.61 / $336.76	Professional		$236.43	$243.61	$336.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $243.61 / $255.79	Facility		$30.73	$243.61	$255.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.22 / $243.61 / $255.79	Professional		$228.22	$243.61	$255.79
United Facility/Professional Professional Modifier Low / Median / High Price $158.35 / $243.61 / $243.61	Professional		$158.35	$243.61	$243.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.95 / $235.95 / $243.61	Professional		$235.95	$235.95	$243.61