Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $91.96 / $125.18	Professional		$68.66	$91.96	$125.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Professional		$10.31	$10.31	$10.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $150.04 / $182.90	Facility		$150.04	$150.04	$182.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $150.50	Facility		$100.30	$100.30	$150.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $131.63	Professional		$85.26	$100.30	$131.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $226.99 / $719.88 / $719.88	Facility		$226.99	$719.88	$719.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $113.91 / $182.90	Facility		$58.10	$113.91	$182.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $127.53 / $166.08	Professional		$16.82	$127.53	$166.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $100.30 / $182.90	Facility		$58.10	$100.30	$182.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $116.64	Professional		$85.26	$100.30	$116.64
United Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $88.40 / $129.10	Professional		$63.04	$88.40	$129.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $122.33 / $122.33	Professional		$115.88	$122.33	$122.33