Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $85.68 / $92.53	Facility		$85.68	$85.68	$92.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $92.53 / $171.36	Professional		$85.68	$92.53	$171.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $93.14 / $116.52	Professional		$93.14	$93.14	$116.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.70 / $195.70 / $195.70	Facility		$195.70	$195.70	$195.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $836.27 / $836.27 / $902.60	Facility		$836.27	$836.27	$902.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $981.91 / $981.91 / $1,425.15	Professional		$981.91	$981.91	$1,425.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $146.90 / $195.70	Facility		$56.03	$146.90	$195.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $180.04 / $195.70	Professional		$56.03	$180.04	$195.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $130.75 / $195.70	Facility		$56.03	$130.75	$195.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $69.77	Professional		$57.58	$57.58	$69.77
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $106.98 / $130.75	Professional		$72.31	$106.98	$130.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $153.41 / $195.70	Professional		$138.59	$153.41	$195.70