Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $59.32 / $80.08	Facility		$55.93	$59.32	$80.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $64.70 / $97.05	Professional		$57.09	$64.70	$97.05
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 $57.17 / $64.52 / $80.83	Professional		$57.17	$64.52	$80.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.25 / $70.25 / $70.25	Facility		$70.25	$70.25	$70.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $57.98 / $57.98	Facility		$57.98	$57.98	$57.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $80.68 / $108.57	Professional		$64.98	$80.68	$108.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.29 / $367.85 / $403.04	Facility		$175.29	$367.85	$403.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.74 / $466.74 / $480.29	Professional		$466.74	$466.74	$480.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $82.94 / $123.90	Facility		$72.31	$82.94	$123.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $70.98 / $110.50	Professional		$62.04	$70.98	$110.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $78.93 / $141.36	Facility		$45.00	$78.93	$141.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $89.46 / $112.95	Professional		$62.04	$89.46	$112.95
United Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $70.37 / $91.80	Professional		$55.32	$70.37	$91.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $67.08 / $106.56	Professional		$67.08	$67.08	$106.56