Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $38.65 / $41.74	Facility		$38.65	$38.65	$41.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $41.74 / $77.29	Professional		$38.39	$41.74	$77.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $52.56 / $52.56	Professional		$52.56	$52.56	$52.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $88.26 / $88.26	Facility		$88.26	$88.26	$88.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $69.70	Professional		$59.25	$59.25	$69.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.49 / $410.39 / $410.39	Facility		$147.49	$410.39	$410.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.02 / $442.02 / $642.75	Professional		$442.02	$442.02	$642.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $61.52 / $88.26	Facility		$25.26	$61.52	$88.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $79.43 / $88.26	Professional		$25.55	$79.43	$88.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $63.18 / $88.26	Facility		$25.26	$63.18	$88.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $69.95	Professional		$59.25	$59.25	$69.95
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $48.24 / $58.98	Professional		$32.61	$48.24	$58.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $47.52 / $88.26	Professional		$47.47	$47.52	$88.26