Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $87.03 / $119.32	Professional		$63.88	$87.03	$119.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $447.75 / $500.40	Facility		$133.26	$447.75	$500.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $140.51 / $160.28	Facility		$140.51	$140.51	$160.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $142.35	Facility		$93.52	$93.52	$142.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $122.74	Professional		$79.48	$93.52	$122.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $671.25 / $671.25	Facility		$215.15	$671.25	$671.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $108.97 / $160.28	Facility		$43.88	$108.97	$160.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $119.43 / $140.51	Professional		$12.93	$119.43	$140.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $93.52 / $160.28	Facility		$43.88	$93.52	$160.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $122.74	Professional		$79.48	$93.52	$122.74
United Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $73.93 / $97.50	Professional		$53.63	$73.93	$97.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $113.82 / $113.82	Professional		$102.27	$113.82	$113.82