Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $81.97 / $140.12	Facility		$30.06	$81.97	$140.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $80.20 / $140.12	Professional		$31.25	$80.20	$140.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $120.16 / $403.70	Facility		$62.57	$120.16	$403.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $69.94 / $121.18	Professional		$31.70	$69.94	$121.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $91.10 / $91.10	Facility		$29.36	$91.10	$91.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $58.82	Facility		$58.82	$58.82	$58.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $95.23 / $206.05	Professional		$38.40	$95.23	$206.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $167.91	Facility		$55.00	$55.00	$167.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.42 / $348.31 / $848.16	Professional		$343.42	$348.31	$848.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $79.75 / $167.45	Facility		$33.34	$79.75	$167.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $101.92 / $159.53	Professional		$43.32	$101.92	$159.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $79.75 / $169.19	Facility		$33.34	$79.75	$169.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $95.23 / $206.81	Professional		$39.21	$95.23	$206.81
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $120.35 / $197.64	Professional		$83.74	$120.35	$197.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $84.92 / $120.20	Professional		$75.64	$84.92	$120.20