Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $54.90 / $153.83	Facility		$23.69	$54.90	$153.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.68 / $25.38	Professional		$16.60	$20.68	$25.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $77.39 / $165.11	Facility		$31.33	$77.39	$165.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Professional		$31.33	$31.33	$31.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Facility		$31.33	$31.33	$31.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $62.30 / $138.91	Facility		$20.36	$62.30	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.93 / $47.50	Professional		$16.60	$35.93	$47.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $148.82 / $148.82	Facility		$50.13	$148.82	$148.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $31.33 / $37.90	Facility		$21.93	$31.33	$37.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $31.33 / $31.33	Professional		$28.20	$31.33	$31.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $57.42 / $165.28	Facility		$21.28	$57.42	$165.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.76 / $32.90	Professional		$16.60	$29.76	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $18.80	Professional		$13.16	$13.16	$18.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $12.22 / $31.33	Professional		$6.54	$12.22	$31.33