Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $108.75 / $302.74	Facility		$41.01	$108.75	$302.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $44.74 / $74.56	Professional		$34.79	$44.74	$74.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Professional		$62.14	$62.14	$62.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Facility		$62.14	$62.14	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $124.20 / $276.29	Facility		$40.85	$124.20	$276.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $71.45 / $94.48	Professional		$32.93	$71.45	$94.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $295.17 / $295.17	Facility		$99.42	$295.17	$295.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $62.14 / $75.19	Facility		$43.50	$62.14	$75.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $62.14 / $62.14	Professional		$55.93	$62.14	$62.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $62.14 / $105.82	Facility		$43.46	$62.14	$105.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $59.03 / $65.25	Professional		$32.93	$59.03	$65.25
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $37.28	Professional		$26.10	$26.10	$37.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $45.77 / $62.14	Professional		$24.23	$45.77	$62.14