Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $398.11	Facility		$67.61	$67.61	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $87.10	Professional		$58.88	$67.61	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $95.50	Professional		$75.86	$95.50	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $144.54	Facility		$67.61	$69.18	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $87.10	Professional		$67.61	$67.61	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $74.13 / $147.91	Facility		$67.61	$74.13	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48