Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $55.82 / $60.29	Facility		$55.82	$55.82	$60.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $60.29 / $111.64	Professional		$55.82	$60.29	$111.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $60.68 / $75.92	Professional		$60.68	$60.68	$75.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $85.60	Professional		$85.60	$85.60	$85.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $544.75 / $587.96 / $587.96	Facility		$544.75	$587.96	$587.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $639.58 / $639.58 / $928.35	Professional		$639.58	$639.58	$928.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $93.71 / $127.50	Facility		$36.50	$93.71	$127.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $117.30 / $127.50	Professional		$36.50	$117.30	$127.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $95.71 / $127.50	Facility		$36.50	$95.71	$127.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $102.92	Professional		$85.60	$85.60	$102.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $69.69 / $85.19	Professional		$47.11	$69.69	$85.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $127.50 / $332.50	Professional		$107.65	$127.50	$332.50