Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $48.98 / $48.98	Facility		$47.86	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $50.12	Professional		$33.11	$44.67	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $28.18	Facility		$18.20	$25.12	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $234.42	Professional		$61.66	$67.61	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $446.68	Professional		$380.19	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $51.29 / $93.33	Facility		$38.02	$51.29	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $51.29	Professional		$30.90	$44.67	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $50.12 / $97.72	Facility		$36.31	$50.12	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $245.47	Professional		$51.29	$74.13	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $60.26	Facility		$19.50	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $72.44	Professional		$34.67	$45.71	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $64.57	Professional		$51.29	$53.70	$64.57