Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $108.33 / $139.72	Professional		$82.14	$108.33	$139.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $13.80 / $13.80	Professional		$12.42	$13.80	$13.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $168.40 / $168.40	Facility		$168.40	$168.40	$168.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $177.12	Facility		$64.17	$64.17	$177.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $66.09	Professional		$54.54	$64.17	$66.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.47 / $821.30 / $851.20	Facility		$255.47	$821.30	$851.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $94.20 / $181.70	Facility		$21.88	$94.20	$181.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $69.50 / $198.70	Professional		$15.49	$69.50	$198.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $69.50 / $177.12	Facility		$21.88	$69.50	$177.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $69.50	Professional		$13.43	$64.17	$69.50
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $99.53 / $154.44	Professional		$60.27	$99.53	$154.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $136.59 / $138.60	Professional		$136.59	$136.59	$138.60