Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $70.48 / $71.68	Facility		$66.83	$70.48	$71.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $63.12 / $71.68	Professional		$49.35	$63.12	$71.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $24.50 / $24.50	Professional		$20.82	$24.50	$24.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $90.23 / $112.52	Professional		$89.91	$90.23	$112.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $370.50 / $370.50	Facility		$148.18	$370.50	$370.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.44 / $432.44 / $598.20	Professional		$432.44	$432.44	$598.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $67.34 / $97.82	Facility		$56.70	$67.34	$97.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $61.14 / $66.59	Professional		$61.14	$61.14	$66.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $67.86 / $110.39	Facility		$59.37	$67.86	$110.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $91.51 / $112.52	Professional		$66.59	$91.51	$112.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $76.44 / $119.18	Professional		$56.99	$76.44	$119.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $76.43 / $104.97	Professional		$61.14	$76.43	$104.97