Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $73.43 / $98.79	Facility		$68.86	$73.43	$98.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $81.50 / $98.03	Professional		$68.86	$81.50	$98.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $76.62 / $76.62 / $76.62	Professional	25	$76.62	$76.62	$76.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $63.71 / $80.66	Professional		$56.45	$63.71	$80.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $85.22 / $85.22	Facility		$85.22	$85.22	$85.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $61.75 / $61.75	Facility		$61.75	$61.75	$61.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $98.67 / $138.86	Professional		$65.76	$98.67	$138.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.97 / $395.96 / $395.96	Facility		$172.97	$395.96	$395.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $546.41 / $546.41	Professional		$546.41	$546.41	$546.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $111.96 / $141.60	Facility		$77.86	$111.96	$141.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $78.00 / $109.00	Professional		$75.98	$78.00	$109.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $95.88 / $150.54	Facility		$35.00	$95.88	$150.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $106.39 / $138.86	Professional		$75.98	$106.39	$138.86
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $94.15 / $117.48	Professional		$69.29	$94.15	$117.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $105.11	Professional		$66.25	$66.25	$105.11