Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $55.81 / $83.58	Facility		$44.73	$55.81	$83.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $53.59 / $69.05	Professional		$43.28	$53.59	$69.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $54.37 / $68.30	Professional		$49.41	$54.37	$68.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $12.22	Facility		$12.22	$12.22	$12.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $69.27 / $109.82	Professional		$48.28	$69.27	$109.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $261.35 / $261.35	Facility		$240.69	$261.35	$261.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.02 / $427.68 / $427.68	Professional		$343.02	$427.68	$427.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $58.45 / $88.45	Facility		$44.40	$58.45	$88.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $78.69 / $105.58	Professional		$50.54	$78.69	$105.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $58.12 / $88.27	Facility		$44.40	$58.12	$88.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $69.90 / $113.23	Professional		$50.54	$69.90	$113.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $71.45 / $103.62	Professional		$53.60	$71.45	$103.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $64.29 / $89.56	Professional		$56.32	$64.29	$89.56