Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Facility		$74.13	$74.13	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $123.03	Professional		$69.18	$79.43	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $169.82	Facility		$79.43	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,047.13	Professional		$831.76	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $229.09	Facility		$44.67	$112.20	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $162.18	Professional		$72.44	$83.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $199.53	Facility		$72.44	$125.89	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $162.18	Facility		$42.66	$69.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $100.00	Professional		$57.54	$85.11	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82