Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $31.26 / $86.69	Facility		$12.66	$31.26	$86.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $12.73 / $20.10	Professional		$9.38	$12.73	$20.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $57.95 / $109.08	Facility		$20.59	$57.95	$109.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.88 / $16.07	Professional		$5.00	$8.88	$16.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $19.30	Facility		$16.75	$16.75	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $36.81 / $84.63	Facility		$11.70	$36.81	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $12.27 / $28.45	Professional		$8.88	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $80.19 / $80.19	Facility		$55.00	$80.19	$80.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $16.75 / $21.78	Facility		$13.40	$16.75	$21.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $16.75 / $20.74	Professional		$15.90	$16.75	$20.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $16.75 / $42.14	Facility		$13.40	$16.75	$42.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $12.88 / $23.99	Professional		$8.88	$12.88	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.58 / $16.75	Professional		$7.04	$9.58	$16.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $8.27 / $16.75	Professional		$6.53	$8.27	$16.75