Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $47.88	Facility		$44.33	$44.33	$47.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $48.19 / $88.66	Professional		$44.33	$48.19	$88.66
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 $48.19 / $48.19 / $60.29	Professional		$48.19	$48.19	$60.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $101.25 / $101.25	Facility		$101.25	$101.25	$101.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $66.22	Professional		$48.34	$48.34	$66.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $332.54 / $551.54 / $641.25	Facility		$332.54	$551.54	$641.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.10 / $1,076.35 / $1,076.35	Professional		$1,051.10	$1,076.35	$1,076.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $72.45 / $101.25	Facility		$32.61	$72.45	$101.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $92.31 / $125.78	Professional		$32.97	$92.31	$125.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $67.65 / $101.25	Facility		$32.61	$67.65	$101.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $70.59	Professional		$48.34	$48.34	$70.59
United Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $62.27 / $76.09	Professional		$42.10	$62.27	$76.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $61.57 / $101.25	Professional		$61.26	$61.57	$101.25