Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $69.20 / $78.55	Facility		$53.30	$69.20	$78.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $70.13 / $93.51	Professional		$53.30	$70.13	$93.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $52.16 / $64.20	Facility		$48.15	$52.16	$64.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $50.83 / $50.83	Professional		$50.83	$50.83	$50.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.79 / $106.79 / $106.79	Facility		$106.79	$106.79	$106.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $82.86	Professional		$45.55	$45.55	$82.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $456.25 / $456.25 / $492.39	Facility		$456.25	$456.25	$492.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $535.65 / $535.65 / $777.45	Professional		$535.65	$535.65	$777.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $80.17 / $106.79	Facility		$30.56	$80.17	$106.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $96.11 / $106.79	Professional		$37.70	$96.11	$106.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $78.48 / $106.79	Facility		$30.56	$78.48	$106.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $89.34	Professional		$45.55	$45.55	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $57.05 / $67.92	Professional		$39.19	$57.05	$67.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $53.44 / $106.79	Professional		$53.44	$53.44	$106.79