Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $66.98 / $68.28	Facility		$65.70	$66.98	$68.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $68.28 / $110.79	Professional		$61.84	$68.28	$110.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $87.60 / $87.60	Professional		$70.02	$87.60	$87.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $108.41 / $147.13	Facility		$108.41	$108.41	$147.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $81.70	Professional		$59.64	$59.64	$81.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.90 / $681.55 / $681.55	Facility		$245.90	$681.55	$681.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $737.14 / $737.14 / $1,071.23	Professional		$737.14	$737.14	$1,071.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $101.81 / $147.13	Facility		$42.11	$101.81	$147.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $135.36 / $147.13	Professional		$42.11	$135.36	$147.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $98.31 / $147.13	Facility		$42.11	$98.31	$147.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $87.10	Professional		$59.64	$59.64	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $77.59 / $93.57	Professional		$54.36	$77.59	$93.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $79.13 / $147.13	Professional		$78.31	$79.13	$147.13