Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.02 / $280.66 / $379.76	Facility		$256.02	$280.66	$379.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $280.66 / $379.76	Professional		$217.15	$280.66	$379.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $107.37 / $225.00	Facility		$46.10	$107.37	$225.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $54.42	Professional		$41.12	$41.12	$54.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $80.00 / $80.00	Facility		$76.00	$80.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $87.82 / $379.76	Facility		$30.98	$87.82	$379.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $55.47 / $78.98	Professional		$35.00	$55.47	$78.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $87.82 / $379.76	Facility		$15.29	$87.82	$379.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $270.64 / $318.39	Professional		$44.71	$270.64	$318.39
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $26.98 / $51.63	Professional		$19.30	$26.98	$51.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $300.39 / $405.54	Professional		$300.39	$300.39	$405.54