Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $91.20	Facility		$85.11	$85.11	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $162.18	Professional		$83.18	$95.50	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $117.49	Professional		$93.33	$93.33	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $199.53	Facility		$79.43	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,412.54	Professional		$977.24	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $190.55 / $245.47	Facility		$56.23	$190.55	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $194.98	Professional		$83.18	$104.71	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $245.47	Facility		$67.61	$158.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $199.53	Facility		$72.44	$128.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $131.83	Professional		$72.44	$109.65	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $199.53	Professional		$138.04	$199.53	$199.53