Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.98 / $97.98 / $105.82	Facility		$97.98	$97.98	$105.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $109.21 / $195.96	Professional		$97.98	$109.21	$195.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $223.79 / $223.79 / $223.79	Facility		$223.79	$223.79	$223.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $124.07	Professional		$124.07	$124.07	$124.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $541.54 / $1,197.00 / $1,417.31	Facility		$541.54	$1,197.00	$1,417.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.98 / $1,753.07 / $1,753.07	Professional		$1,711.98	$1,753.07	$1,753.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $157.01 / $223.79	Facility		$72.08	$157.01	$223.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $203.88 / $295.05	Professional		$72.89	$203.88	$295.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $160.16 / $223.79	Facility		$72.08	$160.16	$223.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $237.66	Professional		$124.07	$124.07	$237.66
United Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $140.12 / $168.22	Professional		$93.04	$140.12	$168.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $136.93 / $223.79	Professional		$135.41	$136.93	$223.79