Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $171.00 / $171.00	Facility		$166.83	$171.00	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $171.00 / $177.26	Professional		$166.83	$171.00	$177.26
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 $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $198.11 / $417.08 / $782.03	Facility		$198.11	$417.08	$782.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $792.45 / $938.43	Professional		$792.45	$792.45	$938.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $177.26 / $473.53	Facility		$166.83	$177.26	$473.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $177.26 / $473.53	Facility		$166.83	$177.26	$473.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $156.41 / $211.15	Professional		$156.41	$156.41	$211.15