Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $83.21 / $115.13	Professional		$64.20	$83.21	$115.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $421.51 / $486.12	Facility		$125.45	$421.51	$486.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $148.66 / $150.87	Facility		$148.66	$148.66	$150.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $131.21	Facility		$96.42	$96.42	$131.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $123.52	Professional		$81.96	$96.42	$123.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $671.07 / $707.04	Facility		$271.94	$671.07	$707.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $98.84 / $150.87	Facility		$42.97	$98.84	$150.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $111.50 / $126.37	Professional		$13.88	$111.50	$126.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $96.42 / $150.87	Facility		$42.97	$96.42	$150.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $118.08	Professional		$81.96	$96.42	$118.08
United Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $69.28 / $95.49	Professional		$55.09	$69.28	$95.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $110.43 / $110.43	Professional		$95.00	$110.43	$110.43