Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $97.34 / $129.31	Professional		$73.48	$97.34	$129.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $162.88 / $181.52	Facility		$162.88	$162.88	$181.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $163.72	Facility		$111.50	$111.50	$163.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $143.12	Professional		$94.78	$111.50	$143.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.68 / $782.12 / $782.12	Facility		$250.68	$782.12	$782.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $113.06 / $181.52	Facility		$57.66	$113.06	$181.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $136.16 / $181.52	Professional		$16.71	$136.16	$181.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $111.50 / $181.52	Facility		$57.66	$111.50	$181.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $143.12	Professional		$94.78	$111.50	$143.12
United Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $89.45 / $128.13	Professional		$66.86	$89.45	$128.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $133.37 / $133.37	Professional		$115.84	$133.37	$133.37