Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $70.20 / $70.20	Facility		$68.48	$70.20	$70.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $69.62 / $70.20	Professional		$64.76	$69.62	$70.20
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 $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.90 / $321.04	Facility		$80.00	$161.90	$321.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $307.61 / $325.32 / $345.15	Professional		$307.61	$325.32	$345.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $68.65 / $183.81	Facility		$64.76	$68.65	$183.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $70.20 / $194.40	Facility		$67.19	$70.20	$194.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $18.39	Professional		$13.63	$13.63	$18.39