Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $58.58	Facility		$54.25	$54.25	$58.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $58.58 / $108.49	Professional		$51.54	$58.58	$108.49
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $73.77 / $73.77	Professional		$73.77	$73.77	$73.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.90 / $123.90 / $123.90	Facility		$123.90	$123.90	$123.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $50.25	Professional		$50.25	$50.25	$50.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $266.54 / $584.39 / $697.73	Facility		$266.54	$584.39	$697.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $842.45 / $862.65 / $862.65	Professional		$842.45	$862.65	$862.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $86.34 / $123.90	Facility		$35.47	$86.34	$123.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $111.51 / $127.25	Professional		$35.88	$111.51	$127.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $82.78 / $123.90	Facility		$35.47	$82.78	$123.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $105.81	Professional		$50.25	$50.25	$105.81
United Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $67.76 / $82.81	Professional		$45.80	$67.76	$82.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $66.73 / $123.90	Professional		$66.69	$66.73	$123.90