Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $144.88 / $178.78	Facility		$114.73	$144.88	$178.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $114.73 / $114.73	Professional		$69.80	$114.73	$114.73
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Professional		$40.79	$40.79	$40.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $162.63 / $162.63	Facility		$162.63	$162.63	$162.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $166.25	Facility		$100.00	$100.00	$166.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $197.12 / $197.12	Professional		$197.12	$197.12	$197.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $114.73 / $243.23	Facility		$91.83	$114.73	$243.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $114.73 / $243.23	Facility		$91.83	$114.73	$243.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $72.81 / $98.31	Professional		$30.00	$72.81	$98.31