Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $115.08 / $163.91	Professional		$92.42	$115.08	$163.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $10.99 / $10.99	Professional		$10.99	$10.99	$10.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.14 / $199.14 / $199.14	Facility		$199.14	$199.14	$199.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $213.50	Facility		$134.41	$134.41	$213.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $162.40	Professional		$114.26	$134.41	$162.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $358.28 / $997.78 / $1,039.49	Facility		$358.28	$997.78	$1,039.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $135.38 / $199.14	Facility		$59.91	$135.38	$199.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $155.85 / $199.14	Professional		$18.34	$155.85	$199.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $133.11 / $199.14	Facility		$59.91	$133.11	$199.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $155.85	Professional		$114.26	$134.41	$155.85
United Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $100.94 / $133.13	Professional		$76.81	$100.94	$133.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $161.11 / $161.11	Professional		$139.66	$161.11	$161.11