Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $56.12 / $129.35	Facility		$54.00	$56.12	$129.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $56.12 / $87.19	Professional		$49.65	$56.12	$87.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $72.01 / $72.01	Professional		$72.01	$72.01	$72.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.92 / $120.92 / $120.92	Facility		$120.92	$120.92	$120.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $71.68	Professional		$52.33	$52.33	$71.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $496.97 / $594.08 / $594.08	Facility		$496.97	$594.08	$594.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $600.34 / $600.34 / $703.50	Professional		$600.34	$600.34	$703.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $83.50 / $120.92	Facility		$30.21	$83.50	$120.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $108.83 / $120.92	Professional		$30.21	$108.83	$120.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $80.79 / $120.92	Facility		$30.21	$80.79	$120.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $73.83	Professional		$52.33	$52.33	$73.83
United Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $106.31 / $125.07	Facility		$106.31	$106.31	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $56.39 / $67.13	Professional		$39.00	$56.39	$67.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $56.34 / $120.92	Professional		$56.20	$56.34	$120.92