Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $101.15 / $103.09	Facility		$99.20	$101.15	$103.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $103.09 / $167.28	Professional		$97.26	$103.09	$167.28
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $222.14 / $222.14 / $222.14	Facility		$222.14	$222.14	$222.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $135.51	Professional		$98.92	$98.92	$135.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.96 / $1,155.77 / $1,373.46	Facility		$882.96	$1,155.77	$1,373.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,791.49 / $2,858.49 / $2,858.49	Professional		$2,791.49	$2,858.49	$2,858.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $154.80 / $222.14	Facility		$69.84	$154.80	$222.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $199.93 / $231.16	Professional		$69.84	$199.93	$231.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $148.41 / $222.14	Facility		$69.84	$148.41	$222.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $139.58	Professional		$98.92	$98.92	$139.58
United Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $130.38 / $155.21	Professional		$90.16	$130.38	$155.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $132.15 / $222.14	Professional		$129.99	$132.15	$222.14