Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $3,445.00 / $10,836.00	Facility		$87.47	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $90.41 / $129.63	Professional		$62.55	$90.41	$129.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $87.47 / $333.70	Facility		$50.01	$87.47	$333.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.68 / $138.22	Professional		$60.00	$85.68	$138.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $60.91 / $113.47	Facility		$60.91	$60.91	$113.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $110.99 / $173.54	Professional		$75.28	$110.99	$173.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $355.87	Facility		$55.00	$55.00	$355.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $787.60 / $929.25	Professional		$594.00	$787.60	$929.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $101.07 / $155.44	Facility		$68.34	$101.07	$155.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $133.43 / $198.54	Professional		$88.15	$133.43	$198.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $101.07 / $156.33	Facility		$68.34	$101.07	$156.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $115.76 / $193.37	Professional		$77.64	$115.76	$193.37
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 $82.60 / $109.74 / $165.89	Professional		$82.60	$109.74	$165.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $102.91 / $144.07	Professional		$91.10	$102.91	$144.07