Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $52.48 / $158.49	Facility		$22.91	$52.48	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $38.02	Professional		$20.89	$25.70	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $194.98	Facility		$38.90	$109.65	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
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 Facility Modifier Low / Median / High Price $22.91 / $64.57 / $158.49	Facility		$22.91	$64.57	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $42.66 / $51.29	Professional		$18.62	$42.66	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $263.03	Professional		$173.78	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $66.07	Facility		$26.30	$35.48	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $43.65	Professional		$20.89	$28.18	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $36.31 / $97.72	Facility		$25.12	$36.31	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $66.07	Professional		$28.18	$38.90	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $35.48	Facility		$12.59	$14.79	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $23.99	Professional		$14.79	$14.79	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $35.48	Professional		$18.62	$35.48	$35.48