Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $102.77 / $139.30	Professional		$82.96	$102.77	$139.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $19.70 / $19.70	Professional		$19.70	$19.70	$19.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $160.28 / $160.28	Facility		$160.28	$160.28	$160.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $98.45	Professional		$83.68	$98.45	$98.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $752.92 / $752.92 / $761.33	Facility		$752.92	$752.92	$761.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $118.96 / $160.28	Facility		$99.78	$118.96	$160.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $136.24 / $160.28	Professional		$99.78	$136.24	$160.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $99.78 / $160.28	Facility		$98.45	$99.78	$160.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $98.45	Professional		$83.68	$98.45	$98.45
United Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $64.84 / $106.43	Facility		$7.98	$64.84	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $93.91 / $133.04	Professional		$66.52	$93.91	$133.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $560.00 / $560.00	Professional		$560.00	$560.00	$560.00