Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $80.51 / $103.93	Professional		$58.36	$80.51	$103.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.92 / $426.45 / $491.84	Facility		$126.92	$426.45	$491.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Professional		$9.63	$9.63	$9.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $128.63 / $152.65	Facility		$128.63	$128.63	$152.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $130.04	Facility		$45.00	$45.00	$130.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $112.48	Professional		$38.25	$45.00	$112.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $197.15 / $615.09 / $615.09	Facility		$197.15	$615.09	$615.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $94.63 / $152.65	Facility		$41.79	$94.63	$152.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $109.34 / $128.63	Professional		$14.05	$109.34	$128.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $82.12 / $152.65	Facility		$41.79	$82.12	$152.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $100.67	Professional		$38.25	$45.00	$100.67
United Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $70.41 / $99.14	Professional		$51.07	$70.41	$99.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $104.63 / $104.63	Professional		$97.41	$104.63	$104.63