Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $232.54 / $232.54	Professional		$123.59	$232.54	$232.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $182.69 / $326.58	Facility		$62.35	$182.69	$326.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.76 / $45.76	Professional		$38.90	$45.76	$45.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $232.54 / $492.98	Facility		$153.58	$232.54	$492.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.85 / $232.54 / $492.98	Facility		$145.85	$232.54	$492.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $22.51	Professional		$16.07	$16.07	$22.51