Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $8.85 / $9.56	Facility		$8.85	$8.85	$9.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $9.56 / $17.70	Professional		$8.85	$9.56	$17.70
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Facility		$20.21	$20.21	$20.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Facility		$11.23	$11.23	$11.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $11.23	Professional		$9.55	$9.55	$11.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $86.39 / $93.15	Facility		$85.00	$86.39	$93.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $147.08	Professional		$101.49	$101.49	$147.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $15.18 / $20.21	Facility		$5.79	$15.18	$20.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $18.59 / $20.21	Professional		$5.79	$18.59	$20.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $12.53 / $20.21	Facility		$5.79	$12.53	$20.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $14.54	Professional		$9.55	$9.55	$14.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $11.05 / $13.60	Professional		$7.47	$11.05	$13.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $11.00 / $20.21	Professional		$10.87	$11.00	$20.21