Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $77.26 / $92.71	Facility		$51.38	$77.26	$92.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $77.26 / $85.76	Professional		$65.67	$77.26	$85.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $114.10 / $228.29	Facility		$45.75	$114.10	$228.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $71.93 / $71.93	Professional		$71.93	$71.93	$71.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $65.26 / $65.26	Facility		$65.26	$65.26	$65.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.62 / $154.52 / $289.73	Facility		$86.62	$154.52	$289.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $77.26 / $110.48	Facility		$73.40	$77.26	$110.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $115.60 / $172.80	Professional		$115.60	$115.60	$172.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $72.25 / $110.48	Facility		$64.51	$72.25	$110.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $86.61 / $86.61	Professional		$69.73	$86.61	$86.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $99.09	Professional		$66.06	$66.06	$99.09