Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $16.70 / $17.02	Facility		$15.84	$16.70	$17.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.47 / $244.00	Professional		$11.73	$16.47	$244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $800.00 / $800.00	Professional		$260.39	$800.00	$800.00
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 $42.69 / $141.50 / $228.55	Facility		$42.69	$141.50	$228.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.43 / $26.82	Professional		$18.00	$21.43	$26.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.49 / $90.49	Facility		$80.00	$90.49	$90.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $126.77 / $142.72	Professional		$102.53	$126.77	$142.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $16.92 / $197.23	Facility		$13.26	$16.92	$197.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $13.89 / $22.71	Professional		$13.89	$13.89	$22.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $17.20 / $197.23	Facility		$14.30	$17.20	$197.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $50.61 / $59.51	Professional		$21.43	$50.61	$59.51
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $952.00 / $2,405.00	Facility		$157.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $16.82 / $27.23	Professional		$12.82	$16.82	$27.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $17.36 / $20.81	Professional		$13.89	$17.36	$20.81