Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.17 / $69.50 / $70.84	Facility		$68.17	$69.50	$70.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $70.84 / $114.95	Professional		$66.83	$70.84	$114.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $90.89 / $90.89	Professional		$90.89	$90.89	$90.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $152.65 / $152.65 / $152.65	Facility		$152.65	$152.65	$152.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $315.64 / $797.99 / $797.99	Facility		$315.64	$797.99	$797.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $821.86 / $841.55 / $1,143.68	Professional		$821.86	$841.55	$1,143.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $106.37 / $152.65	Facility		$48.80	$106.37	$152.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $140.44 / $152.65	Professional		$48.80	$140.44	$152.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $106.37 / $152.65	Facility		$48.80	$106.37	$152.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $91.09 / $108.44	Professional		$62.99	$91.09	$108.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $92.70 / $152.65	Professional		$90.76	$92.70	$152.65