Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Professional		$182.86	$182.86	$182.86
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 $76.42 / $76.42 / $92.63	Professional		$76.42	$76.42	$92.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $135.28 / $135.28	Professional		$135.28	$135.28	$135.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $307.20	Facility		$182.86	$182.86	$307.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $94.97	Professional		$94.97	$94.97	$94.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $274.29	Facility		$182.86	$182.86	$274.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $46.00 / $57.50	Professional		$35.81	$46.00	$57.50