Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Facility		$75.86	$75.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $131.83	Professional		$74.13	$91.20	$131.83
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 / $173.78 / $173.78	Facility		$79.43	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,412.54	Professional		$1,000.00	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $239.88	Facility		$79.43	$147.91	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $199.53	Professional		$75.86	$97.72	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $141.25 / $257.04	Facility		$79.43	$141.25	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $85.11 / $194.98	Facility		$53.70	$85.11	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $120.23	Professional		$70.79	$102.33	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78