Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $151.36	Facility		$93.33	$95.50	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $147.91	Professional		$91.20	$107.15	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $295.12 / $549.54	Facility		$120.23	$295.12	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $85.11	Professional		$75.86	$85.11	$85.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $100.00 / $100.00	Facility		$97.72	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $100.00	Facility		$60.26	$70.79	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $190.55	Professional		$83.18	$117.49	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $851.14	Professional		$660.69	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $173.78	Facility		$77.62	$109.65	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $190.55	Professional		$93.33	$117.49	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $173.78	Facility		$69.18	$107.15	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $186.21	Professional		$79.43	$117.49	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Facility		$81.28	$81.28	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $158.49	Professional		$77.62	$102.33	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $102.33	Professional		$87.10	$100.00	$102.33