Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $61.47 / $172.29	Facility		$23.16	$61.47	$172.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $23.16 / $29.83	Professional		$19.64	$23.16	$29.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $108.76 / $194.98	Facility		$41.41	$108.76	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $80.56 / $157.02	Facility		$23.38	$80.56	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $42.46 / $50.88	Professional		$18.60	$42.46	$50.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $166.68 / $166.68	Facility		$56.14	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $49.25	Facility		$21.05	$35.09	$49.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $43.86	Professional		$33.34	$35.09	$43.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $36.84 / $125.88	Facility		$23.84	$36.84	$125.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $42.11 / $61.41	Professional		$28.07	$42.11	$61.41
United Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $14.74 / $35.09	Facility		$12.63	$14.74	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $21.62	Professional		$14.74	$14.74	$21.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.10 / $35.09	Professional		$18.62	$19.10	$35.09