Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $48.65 / $52.54	Facility		$48.65	$48.65	$52.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $52.54 / $97.30	Professional		$44.02	$52.54	$97.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $66.16 / $66.16	Professional		$66.16	$66.16	$66.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $111.12 / $111.12	Facility		$111.12	$111.12	$111.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $59.82	Professional		$43.67	$43.67	$59.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.08 / $477.03 / $571.00	Facility		$199.08	$477.03	$571.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $629.15 / $644.27 / $719.63	Professional		$629.15	$644.27	$719.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $77.45 / $111.12	Facility		$29.04	$77.45	$111.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $102.23 / $120.21	Professional		$29.37	$102.23	$120.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $74.26 / $111.12	Facility		$29.04	$74.26	$111.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $63.77	Professional		$43.67	$43.67	$63.77
United Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $120.21	Facility		$102.18	$102.18	$120.21
United Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $55.45 / $68.97	Professional		$37.49	$55.45	$68.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $54.56 / $111.12	Professional		$54.49	$54.56	$111.12