Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $120.23 / $380.19	Facility		$54.95	$120.23	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $61.66 / $79.43	Professional		$7.08	$61.66	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $371.54	Facility		$54.95	$81.28	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $128.82	Professional		$85.11	$102.33	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $83.18 / $154.88	Facility		$52.48	$83.18	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $67.61 / $91.20	Professional		$7.08	$67.61	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $83.18 / $194.98	Facility		$51.29	$83.18	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $89.13	Professional		$64.57	$79.43	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $83.18	Facility		$30.20	$39.81	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $83.18	Professional		$35.48	$35.48	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $83.18	Professional		$32.36	$32.36	$83.18