Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.33 / $91.08 / $92.83	Facility		$89.33	$91.08	$92.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $92.83 / $173.71	Professional		$87.58	$92.83	$173.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $119.10 / $119.10	Professional		$119.10	$119.10	$119.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $200.02 / $200.02	Facility		$200.02	$200.02	$200.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $142.94	Professional		$104.35	$104.35	$142.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $1,059.51 / $1,059.51	Facility		$409.50	$1,059.51	$1,059.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.30 / $1,294.30 / $1,500.15	Professional		$1,294.30	$1,294.30	$1,500.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $139.38 / $200.02	Facility		$64.42	$139.38	$200.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $180.02 / $257.41	Professional		$64.42	$180.02	$257.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $139.38 / $200.02	Facility		$64.42	$139.38	$200.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $147.24	Professional		$104.35	$104.35	$147.24
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $123.02 / $143.16	Professional		$83.16	$123.02	$143.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $119.83 / $200.02	Professional		$119.68	$119.83	$200.02