Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $93.27 / $100.73	Facility		$93.27	$93.27	$100.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $100.73 / $186.53	Professional		$85.80	$100.73	$186.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $126.84 / $126.84	Professional		$126.84	$126.84	$126.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $113.00	Professional		$82.49	$82.49	$113.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $917.84 / $998.26 / $998.26	Facility		$917.84	$998.26	$998.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.59 / $1,095.59 / $1,577.40	Professional		$1,095.59	$1,095.59	$1,577.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $148.46 / $213.02	Facility		$56.56	$148.46	$213.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $180.15 / $213.02	Professional		$57.20	$180.15	$213.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $142.34 / $213.02	Facility		$56.56	$142.34	$213.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $120.47	Professional		$82.49	$82.49	$120.47
United Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $108.00 / $133.75	Professional		$73.01	$108.00	$133.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $107.08 / $213.02	Professional		$106.26	$107.08	$213.02