Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $56.70 / $61.23	Facility		$56.70	$56.70	$61.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $61.23 / $113.39	Professional		$56.70	$61.23	$113.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $77.11 / $77.11	Professional		$77.11	$77.11	$77.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Facility		$129.47	$129.47	$129.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $97.44	Professional		$71.13	$71.13	$97.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $629.92 / $743.85 / $743.85	Facility		$629.92	$743.85	$743.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $751.68 / $751.68 / $932.03	Professional		$751.68	$751.68	$932.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $90.25 / $129.47	Facility		$37.83	$90.25	$129.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $116.53 / $129.47	Professional		$38.25	$116.53	$129.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $90.86 / $129.47	Facility		$37.83	$90.86	$129.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $101.35	Professional		$71.13	$71.13	$101.35
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $133.11 / $156.60	Facility		$133.11	$133.11	$156.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $72.23 / $88.28	Professional		$48.83	$72.23	$88.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $71.42 / $129.47	Professional		$71.06	$71.42	$129.47