Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $104.28 / $289.29	Facility		$42.25	$104.28	$289.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $42.48 / $76.03	Professional		$33.53	$42.48	$76.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $193.38 / $363.96	Facility		$67.06	$193.38	$363.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $29.62 / $42.41	Professional		$5.00	$29.62	$42.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $55.89	Facility		$54.50	$54.50	$55.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $102.45 / $249.13	Facility		$39.04	$102.45	$249.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $35.04 / $85.19	Professional		$26.94	$35.04	$85.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $265.48 / $265.48	Facility		$117.00	$265.48	$265.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $55.89 / $70.27	Facility		$40.70	$55.89	$70.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $55.89 / $72.83	Professional		$50.30	$55.89	$72.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $55.89 / $139.27	Facility		$40.70	$55.89	$139.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $43.04 / $80.05	Professional		$26.94	$43.04	$80.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $31.97 / $47.50	Professional		$23.47	$31.97	$47.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $27.60 / $55.89	Professional		$21.80	$27.60	$55.89