Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $70.09 / $79.56	Facility		$53.98	$70.09	$79.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $71.03 / $94.71	Professional		$53.98	$71.03	$94.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $117.81 / $302.16	Facility		$65.02	$117.81	$302.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Professional		$57.77	$57.77	$57.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $108.17 / $108.17	Facility		$108.17	$108.17	$108.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $126.76	Facility		$126.76	$126.76	$126.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $76.44	Professional		$44.13	$44.13	$76.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $513.80 / $513.80	Facility		$219.59	$513.80	$513.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $538.69 / $538.69 / $811.28	Professional		$538.69	$538.69	$811.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $79.56 / $108.17	Facility		$29.61	$79.56	$108.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $97.35 / $108.17	Professional		$66.20	$97.35	$108.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $77.40 / $108.17	Facility		$29.61	$77.40	$108.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $91.40	Professional		$44.13	$44.13	$91.40
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $49.88 / $65.79	Professional		$38.22	$49.88	$65.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $69.12 / $108.17	Professional		$69.12	$69.12	$108.17