Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $93.10 / $100.55	Facility		$93.10	$93.10	$100.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $100.13 / $186.20	Professional		$75.90	$100.13	$186.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $126.62 / $126.62	Professional		$126.62	$126.62	$126.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $212.64 / $212.64	Facility		$212.64	$212.64	$212.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $99.66	Professional		$72.75	$72.75	$99.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $374.06 / $840.48 / $1,010.04	Facility		$374.06	$840.48	$1,010.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.74 / $1,211.13 / $1,211.13	Professional		$1,182.74	$1,211.13	$1,211.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $148.19 / $212.64	Facility		$51.37	$148.19	$212.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $187.18 / $212.64	Professional		$51.95	$187.18	$212.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $142.08 / $212.64	Facility		$51.37	$142.08	$212.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $106.24	Professional		$72.75	$72.75	$106.24
United Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $98.09 / $122.61	Professional		$66.31	$98.09	$122.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $96.51 / $212.64	Professional		$96.39	$96.51	$212.64