Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $42.19 / $45.56	Facility		$42.19	$42.19	$45.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $45.56 / $84.37	Professional		$42.19	$45.56	$84.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $57.37 / $57.37	Professional		$57.37	$57.37	$57.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $96.35 / $96.35	Facility		$96.35	$96.35	$96.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $60.21	Professional		$43.95	$43.95	$60.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $227.93 / $510.07 / $610.23	Facility		$227.93	$510.07	$610.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.51 / $653.85 / $722.63	Professional		$638.51	$653.85	$722.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $67.15 / $96.35	Facility		$31.03	$67.15	$96.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $87.73 / $128.47	Professional		$31.38	$87.73	$128.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $64.38 / $96.35	Facility		$31.03	$64.38	$96.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $64.19	Professional		$43.95	$43.95	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $59.26 / $72.43	Professional		$40.06	$59.26	$72.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $58.31 / $96.35	Professional		$57.87	$58.31	$96.35