Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $65.56 / $70.80	Facility		$65.56	$65.56	$70.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $70.80 / $131.12	Professional		$65.56	$70.80	$131.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $89.16 / $89.16	Professional		$80.23	$89.16	$89.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.75 / $149.75 / $149.75	Facility		$149.75	$149.75	$149.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $90.07	Professional		$65.75	$65.75	$90.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $730.36 / $870.20 / $870.20	Facility		$730.36	$870.20	$870.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $879.36 / $879.36 / $1,223.55	Professional		$879.36	$879.36	$1,223.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $104.36 / $149.75	Facility		$46.42	$104.36	$149.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $136.93 / $149.75	Professional		$46.95	$136.93	$149.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $100.06 / $149.75	Facility		$46.42	$100.06	$149.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $96.02	Professional		$65.75	$65.75	$96.02
United Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $88.65 / $108.32	Professional		$59.93	$88.65	$108.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.33 / $149.75	Professional		$87.22	$87.33	$149.75