Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $180.95 / $997.12	Facility		$176.54	$180.95	$997.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $180.95 / $187.57	Professional		$176.54	$180.95	$187.57
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $187.57 / $221.93	Facility		$141.22	$187.57	$221.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.53 / $784.20 / $803.40	Facility		$203.53	$784.20	$803.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $814.11 / $964.08	Professional		$790.40	$814.11	$964.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $187.57 / $501.09	Facility		$176.54	$187.57	$501.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $227.02 / $234.12	Professional		$141.88	$227.02	$234.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $187.57 / $383.61	Facility		$164.84	$187.57	$383.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $160.68 / $216.92	Professional		$160.68	$160.68	$216.92