Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $129.71 / $177.89	Facility		$71.52	$129.71	$177.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $72.23 / $118.88	Professional		$71.52	$72.23	$118.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.03 / $214.22 / $427.43	Facility		$88.03	$214.22	$427.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $76.75 / $76.75	Professional		$76.75	$76.75	$76.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $59.33 / $59.33	Facility		$59.33	$59.33	$59.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $71.52 / $71.52	Facility		$67.47	$71.52	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $407.85 / $407.85	Facility		$228.00	$407.85	$407.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $102.27 / $105.35	Facility		$72.23	$102.27	$105.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $71.52 / $132.18	Professional		$55.04	$71.52	$132.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $71.52 / $103.30	Facility		$67.47	$71.52	$103.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $71.52 / $129.58	Professional		$67.55	$71.52	$129.58
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $73.03 / $96.55	Professional		$73.03	$73.03	$96.55