Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $175.81 / $175.81	Facility		$171.52	$175.81	$175.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $175.81 / $182.24	Professional		$171.52	$175.81	$182.24
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 $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.68 / $428.80 / $804.00	Facility		$203.68	$428.80	$804.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $814.72 / $814.72 / $964.80	Professional		$814.72	$814.72	$964.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $182.24 / $486.84	Facility		$171.52	$182.24	$486.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $182.24 / $486.84	Facility		$171.52	$182.24	$486.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.96 / $192.96 / $260.50	Professional		$192.96	$192.96	$260.50