Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.23 / $61.63 / $62.99	Facility		$59.23	$61.63	$62.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $62.99 / $80.20	Professional		$57.91	$62.99	$80.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $63.94 / $63.94	Professional		$54.35	$63.94	$63.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $72.39 / $72.39	Facility		$72.39	$72.39	$72.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $378.53 / $378.53	Facility		$125.69	$378.53	$378.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.20 / $472.20 / $609.23	Professional		$472.20	$472.20	$609.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.23 / $68.77 / $92.88	Facility		$59.23	$68.77	$92.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $93.35 / $129.26	Professional		$78.98	$93.35	$129.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.23 / $68.40 / $92.88	Facility		$59.23	$68.40	$92.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.38	Professional		$66.06	$66.06	$67.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $81.25 / $119.35	Professional		$59.28	$81.25	$119.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $70.05 / $97.27	Professional		$61.29	$70.05	$97.27