Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $93.50 / $100.97	Facility		$93.50	$93.50	$100.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $101.04 / $186.99	Professional		$93.50	$101.04	$186.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $101.63 / $127.15	Professional		$101.63	$101.63	$127.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.54 / $213.54 / $213.54	Facility		$213.54	$213.54	$213.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $170.89	Professional		$124.75	$124.75	$170.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.97 / $1,281.74 / $1,281.74	Facility		$1,122.97	$1,281.74	$1,281.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.55 / $1,359.41 / $1,845.15	Professional		$1,327.55	$1,359.41	$1,845.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $149.82 / $213.54	Facility		$65.18	$149.82	$213.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $192.19 / $232.35	Professional		$65.92	$192.19	$232.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $152.85 / $213.54	Facility		$65.18	$152.85	$213.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $182.19	Professional		$124.75	$124.75	$182.19
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $124.47 / $154.50	Professional		$84.14	$124.47	$154.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $144.94 / $213.54	Professional		$122.46	$144.94	$213.54