Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $109.65	Facility		$63.10	$83.18	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $109.65	Professional		$66.07	$81.28	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $138.04	Professional		$60.26	$89.13	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $691.83	Professional		$524.81	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $151.36	Facility		$64.57	$87.10	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $100.00	Professional		$66.07	$79.43	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $138.04	Facility		$70.79	$89.13	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $131.83	Professional		$60.26	$89.13	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $147.91	Professional		$66.07	$91.20	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Professional		$77.62	$77.62	$97.72