Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $61.66	Professional		$38.02	$52.48	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Professional		$35.48	$35.48	$41.69
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 $95.50 / $102.33 / $107.15	Facility		$95.50	$102.33	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $467.74	Professional		$338.84	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $58.88 / $95.50	Facility		$38.90	$58.88	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $61.66	Professional		$38.02	$52.48	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $95.50	Facility		$41.69	$57.54	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $95.50	Professional		$54.95	$70.79	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $199.53	Facility		$74.13	$151.36	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $97.72	Professional		$45.71	$60.26	$97.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $66.07	Professional		$54.95	$56.23	$66.07