Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.43 / $107.43 / $108.96	Facility		$107.43	$107.43	$108.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $101.86 / $117.40	Professional		$62.92	$101.86	$117.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $15.86 / $15.86	Professional		$15.86	$15.86	$15.86
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 $10.25 / $15.77 / $137.59	Professional		$10.25	$15.77	$137.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $168.34 / $168.34	Facility		$21.55	$168.34	$168.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $659.14 / $659.14 / $659.14	Professional		$659.14	$659.14	$659.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $101.86 / $120.19	Facility		$10.34	$101.86	$120.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $101.86 / $121.40	Facility		$10.53	$101.86	$121.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $137.59 / $139.52	Professional		$10.25	$137.59	$139.52
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $113.96 / $186.70	Professional		$83.37	$113.96	$186.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $14.56 / $20.38	Professional		$14.56	$14.56	$20.38