Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $68.93 / $74.44	Facility		$68.93	$68.93	$74.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $74.44 / $137.85	Professional		$68.93	$74.44	$137.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $93.74	Professional		$74.92	$74.92	$93.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $157.43 / $157.43 / $157.43	Facility		$157.43	$157.43	$157.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $97.54	Professional		$71.20	$71.20	$97.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $771.31 / $921.88	Facility		$315.08	$771.31	$921.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $996.17 / $1,020.06 / $1,313.25	Professional		$996.17	$1,020.06	$1,313.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $109.71 / $157.43	Facility		$46.88	$109.71	$157.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $144.84 / $177.18	Professional		$47.41	$144.84	$177.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $105.19 / $157.43	Facility		$46.88	$105.19	$157.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $103.98	Professional		$71.20	$71.20	$103.98
United Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $89.52 / $109.41	Professional		$60.52	$89.52	$109.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $88.15 / $157.43	Professional		$88.08	$88.15	$157.43