Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.69 / $72.08 / $73.45	Facility		$70.69	$72.08	$73.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $73.45 / $109.38	Professional		$69.30	$73.45	$109.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $83.43 / $107.90	Professional		$83.43	$83.43	$107.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.91 / $125.91 / $125.91	Facility		$125.91	$125.91	$125.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $52.17	Professional		$38.08	$38.08	$52.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $580.79 / $580.79	Facility		$227.07	$580.79	$580.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.50 / $888.53 / $888.53	Professional		$886.50	$888.53	$888.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $105.05 / $125.91	Facility		$28.81	$105.05	$125.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $107.02 / $125.91	Professional		$28.81	$107.02	$125.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $78.03 / $125.91	Facility		$28.81	$78.03	$125.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $53.74	Professional		$38.08	$38.08	$53.74
United Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $125.57 / $156.97	Professional		$79.19	$125.57	$156.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $125.91	Professional		$39.00	$39.00	$125.91