Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $146.76 / $411.26	Facility		$53.35	$146.76	$411.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $50.26 / $67.01	Professional		$46.91	$50.26	$67.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Professional		$83.76	$83.76	$83.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Facility		$83.76	$83.76	$83.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $167.40 / $372.95	Facility		$54.44	$167.40	$372.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $102.01 / $127.51	Professional		$96.23	$102.01	$127.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.02 / $397.86 / $397.86	Facility		$134.02	$397.86	$397.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $83.76 / $92.14	Facility		$51.93	$83.76	$92.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $83.76 / $83.76	Professional		$75.38	$83.76	$83.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $83.76 / $116.43	Facility		$52.77	$83.76	$116.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $79.56 / $87.95	Professional		$64.50	$79.56	$87.95
United Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $83.76 / $100.51	Facility		$35.18	$83.76	$100.51
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $50.26	Professional		$35.18	$35.18	$50.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $45.77 / $83.76	Professional		$32.67	$45.77	$83.76