Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $238.38 / $240.77	Facility		$158.91	$238.38	$240.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $160.51 / $174.81	Professional		$158.91	$160.51	$174.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $151.41 / $151.41	Professional		$151.41	$151.41	$151.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $158.91	Facility		$149.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.39 / $654.50 / $654.50	Facility		$211.39	$654.50	$654.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.58 / $158.91 / $227.26	Facility		$127.58	$158.91	$227.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $158.91 / $190.70	Professional		$150.09	$158.91	$190.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $166.86	Facility		$149.91	$158.91	$166.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $158.91 / $158.91	Professional		$150.47	$158.91	$158.91
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $158.91	Professional		$63.57	$158.91	$158.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $148.24 / $214.54	Professional		$148.24	$148.24	$214.54