Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $69.98 / $75.58	Facility		$69.98	$69.98	$75.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $75.58 / $139.97	Professional		$69.98	$75.58	$139.97
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 $76.08 / $76.08 / $95.18	Professional		$76.08	$76.08	$95.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $159.85 / $159.85 / $159.85	Facility		$159.85	$159.85	$159.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.25	Professional		$82.67	$82.67	$113.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $364.10 / $862.15 / $1,012.42	Facility		$364.10	$862.15	$1,012.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.40 / $1,157.54 / $1,589.78	Professional		$1,130.40	$1,157.54	$1,589.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $114.41 / $159.85	Facility		$51.48	$114.41	$159.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $145.81 / $176.19	Professional		$52.07	$145.81	$176.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $113.25 / $159.85	Facility		$51.48	$113.25	$159.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $120.73	Professional		$82.67	$82.67	$120.73
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $98.31 / $120.16	Professional		$66.45	$98.31	$120.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $97.21 / $159.85	Professional		$96.73	$97.21	$159.85