Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $88.79 / $90.50	Facility		$87.08	$88.79	$90.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $90.50 / $143.60	Professional		$82.93	$90.50	$143.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $116.11 / $116.11	Professional		$116.11	$116.11	$116.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.01 / $195.01 / $195.01	Facility		$195.01	$195.01	$195.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $144.01	Professional		$105.13	$105.13	$144.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $428.43 / $928.70 / $1,098.30	Facility		$428.43	$928.70	$1,098.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.75 / $1,246.95 / $1,300.58	Professional		$1,217.75	$1,246.95	$1,300.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $134.91 / $195.01	Facility		$55.85	$134.91	$195.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $175.51 / $195.01	Professional		$55.85	$175.51	$195.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $135.90 / $195.01	Facility		$55.85	$135.90	$195.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $148.33	Professional		$105.13	$105.13	$148.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $104.26 / $124.11	Professional		$72.09	$104.26	$124.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $105.61 / $195.01	Professional		$103.89	$105.61	$195.01