Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $70.37 / $90.77	Professional		$52.41	$70.37	$90.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $8.80	Professional		$8.80	$8.80	$8.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $110.22 / $139.63	Facility		$110.22	$110.22	$139.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $115.70	Facility		$74.67	$74.67	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $98.00	Professional		$63.47	$74.67	$98.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $535.95 / $535.95	Facility		$171.78	$535.95	$535.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $88.43 / $139.63	Facility		$38.22	$88.43	$139.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $96.33 / $114.86	Professional		$12.84	$96.33	$114.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $77.51 / $139.63	Facility		$38.22	$77.51	$139.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $95.04	Professional		$63.47	$74.67	$95.04
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $62.88 / $84.93	Professional		$45.62	$62.88	$84.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $90.95 / $90.95	Professional		$88.42	$90.95	$90.95