Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $43.84 / $58.24	Professional		$33.33	$43.84	$58.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Professional		$5.08	$5.08	$5.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $91.73	Facility		$70.00	$70.00	$91.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $74.27	Facility		$48.02	$48.02	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.02 / $63.02	Professional		$40.82	$48.02	$63.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $344.64 / $344.64	Facility		$110.46	$344.64	$344.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $57.14 / $91.73	Facility		$29.14	$57.14	$91.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $63.28 / $83.30	Professional		$8.47	$63.28	$83.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $48.02 / $91.73	Facility		$29.14	$48.02	$91.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.02 / $59.40	Professional		$40.82	$48.02	$59.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $41.77 / $64.75	Professional		$30.02	$41.77	$64.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $58.44 / $58.44	Professional		$58.37	$58.44	$58.44