Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $53.35 / $153.97	Facility		$20.86	$53.35	$153.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $22.75 / $37.92	Professional		$17.70	$22.75	$37.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $31.60	Professional		$31.60	$31.60	$31.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $31.60 / $31.60	Facility		$31.60	$31.60	$31.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $72.89 / $140.41	Facility		$20.36	$72.89	$140.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $38.40 / $48.01	Professional		$36.34	$38.40	$48.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $150.10 / $150.10	Facility		$50.56	$150.10	$150.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $31.60 / $34.76	Facility		$17.70	$31.60	$34.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $31.60 / $31.60	Professional		$28.44	$31.60	$31.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $31.60 / $39.50	Facility		$17.70	$31.60	$39.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $30.02 / $33.34	Professional		$24.33	$30.02	$33.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $20.54	Professional		$13.27	$13.27	$20.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.41 / $31.60	Professional		$3.84	$4.41	$31.60