Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $95.08 / $107.92	Facility		$73.23	$95.08	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $96.36 / $128.47	Professional		$73.23	$96.36	$128.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $71.68 / $88.22	Facility		$66.17	$71.68	$88.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $78.37	Professional		$69.83	$69.83	$78.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $146.72 / $146.72	Facility		$146.72	$146.72	$146.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $90.79	Professional		$74.93	$74.93	$90.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $689.27 / $696.97 / $696.97	Facility		$689.27	$696.97	$696.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $730.72 / $730.72 / $1,100.48	Professional		$730.72	$730.72	$1,100.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $107.92 / $146.72	Facility		$40.18	$107.92	$146.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $132.06 / $146.72	Professional		$89.80	$132.06	$146.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $105.03 / $146.72	Facility		$40.18	$105.03	$146.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $122.01	Professional		$74.93	$74.93	$122.01
United Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $61.67 / $97.64	Facility		$49.35	$61.67	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $67.69 / $89.28	Professional		$51.86	$67.69	$89.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $93.64 / $146.72	Professional		$93.64	$93.64	$146.72