Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $48.83 / $49.68	Facility		$46.30	$48.83	$49.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $46.30 / $51.70	Professional		$33.59	$46.30	$51.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.05 / $433.05 / $433.05	Professional		$433.05	$433.05	$433.05
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 Facility Modifier Low / Median / High Price $18.26 / $23.89 / $28.26	Facility		$18.26	$23.89	$28.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $67.02 / $232.87	Professional		$60.98	$67.02	$232.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $181.60 / $273.74	Facility		$121.43	$181.60	$273.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $391.12 / $442.05	Professional		$380.08	$391.12	$442.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $53.80 / $97.97	Facility		$39.95	$53.80	$97.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $49.15 / $51.50	Professional		$49.15	$49.15	$51.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $53.65 / $101.79	Facility		$38.03	$53.65	$101.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $63.42 / $116.33	Professional		$49.15	$63.42	$116.33
United Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $45.33 / $71.53	Professional		$32.75	$45.33	$71.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $53.70 / $72.95	Professional		$51.50	$53.70	$72.95