Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $63.02 / $63.64	Facility		$59.33	$63.02	$63.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $42.85 / $63.64	Professional		$17.14	$42.85	$63.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $151.63 / $151.63	Professional		$128.88	$151.63	$151.63
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 $20.88 / $32.50 / $45.30	Facility		$20.88	$32.50	$45.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.97 / $30.22	Professional		$10.14	$10.97	$30.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $80.73 / $90.44	Facility		$28.98	$80.73	$90.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $245.56 / $245.56	Professional		$245.56	$245.56	$245.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $34.47 / $93.63	Facility		$17.35	$34.47	$93.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.67 / $22.03	Professional		$12.67	$12.67	$22.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $38.59 / $109.43	Facility		$17.14	$38.59	$109.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.92 / $32.15	Professional		$10.14	$10.92	$32.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $38.97 / $66.27	Professional		$30.69	$38.97	$66.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $31.00 / $110.07	Professional		$22.03	$31.00	$110.07