Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $63.32 / $175.63	Facility		$25.66	$63.32	$175.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $25.45 / $40.72	Professional		$20.36	$25.45	$40.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $110.98 / $203.30	Facility		$46.31	$110.98	$203.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.67 / $23.76	Professional		$5.00	$18.67	$23.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $33.94 / $39.11	Facility		$33.94	$33.94	$39.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $74.12 / $154.87	Facility		$23.72	$74.12	$154.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.73 / $57.44	Professional		$17.98	$24.73	$57.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.58 / $161.58	Facility		$80.00	$161.58	$161.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $33.94 / $41.26	Facility		$20.36	$33.94	$41.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $33.94 / $42.04	Professional		$30.55	$33.94	$42.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $33.94 / $85.37	Facility		$20.51	$33.94	$85.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.13 / $49.04	Professional		$17.98	$26.13	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.42 / $27.71	Professional		$14.25	$19.42	$27.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.76 / $33.94	Professional		$13.24	$16.76	$33.94