Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $3,445.00 / $10,836.00	Facility		$63.05	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $61.97 / $94.94	Professional		$42.70	$61.97	$94.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $67.51 / $270.51	Facility		$38.64	$67.51	$270.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $69.39 / $112.56	Professional		$43.84	$69.39	$112.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $43.54 / $85.27	Facility		$43.54	$43.54	$85.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $80.61 / $124.78	Professional		$52.89	$80.61	$124.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $256.02	Facility		$55.00	$55.00	$256.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $610.91 / $702.75	Professional		$544.00	$610.91	$702.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $75.84 / $112.79	Facility		$48.77	$75.84	$112.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $100.68 / $149.80	Professional		$63.48	$100.68	$149.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $75.84 / $114.93	Facility		$48.77	$75.84	$114.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $85.50 / $139.00	Professional		$55.07	$85.50	$139.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $79.93 / $115.49	Professional		$59.74	$79.93	$115.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $77.55 / $108.57	Professional		$68.73	$77.55	$108.57