Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $58.07 / $644.04	Facility		$45.04	$58.07	$644.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $57.57 / $113.65	Professional		$45.04	$57.57	$113.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $16.84 / $67.98	Professional		$5.67	$16.84	$67.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $68.00 / $71.73	Facility		$64.12	$68.00	$71.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.53 / $386.61 / $5,429.97	Facility		$148.53	$386.61	$5,429.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $78.92 / $163.65	Professional		$55.26	$78.92	$163.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $4,042.45 / $4,042.45	Facility		$159.27	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $445.73 / $445.73 / $592.50	Professional		$445.73	$445.73	$592.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $77.05 / $134.21	Facility		$58.07	$77.05	$134.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $111.54 / $157.61	Professional		$64.20	$111.54	$157.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.11 / $96.25 / $1,185.07	Facility		$63.11	$96.25	$1,185.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $80.79 / $171.30	Professional		$57.80	$80.79	$171.30
United Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $77.51 / $115.14	Professional		$58.62	$77.51	$115.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $64.20 / $91.65	Professional		$57.69	$64.20	$91.65