Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $52.27 / $53.28	Facility		$51.27	$52.27	$53.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $53.28 / $84.35	Professional		$50.26	$53.28	$84.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $68.34 / $68.34	Professional		$68.34	$68.34	$68.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $87.42	Professional		$63.82	$63.82	$87.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $540.12 / $642.05 / $642.05	Facility		$540.12	$642.05	$642.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.82 / $648.82 / $760.35	Professional		$648.82	$648.82	$760.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $79.41 / $114.80	Facility		$32.65	$79.41	$114.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $103.32 / $114.80	Professional		$32.65	$103.32	$114.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $79.98 / $114.80	Facility		$32.65	$79.98	$114.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $89.83	Professional		$63.82	$63.82	$89.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $60.94 / $72.55	Professional		$42.15	$60.94	$72.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $62.47 / $114.80	Professional		$61.45	$62.47	$114.80