Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $50.60 / $128.81	Facility		$20.05	$50.60	$128.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $20.05 / $32.53	Professional		$15.18	$20.05	$32.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $81.92 / $141.38	Facility		$28.74	$81.92	$141.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.37 / $24.63	Professional		$5.00	$14.37	$24.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $27.11 / $27.11	Facility		$20.81	$27.11	$27.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $53.92 / $115.42	Facility		$16.32	$53.92	$115.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.80 / $41.03	Professional		$11.73	$13.80	$41.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $128.77 / $128.77	Facility		$50.00	$128.77	$128.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $27.11 / $29.82	Facility		$15.18	$27.11	$29.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $27.11 / $27.11	Professional		$23.53	$27.11	$27.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $27.11 / $68.70	Facility		$16.27	$27.11	$68.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.91 / $27.11	Professional		$11.73	$13.91	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.39 / $16.27	Professional		$10.33	$11.39	$16.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.84 / $27.11	Professional		$10.57	$10.84	$27.11