Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $53.80 / $149.21	Facility		$21.79	$53.80	$149.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $23.35 / $34.60	Professional		$16.14	$23.35	$34.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.28 / $20.18	Professional		$5.00	$15.28	$20.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $28.83 / $33.22	Facility		$28.83	$28.83	$33.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $63.34 / $145.41	Facility		$20.14	$63.34	$145.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $21.12 / $48.69	Professional		$15.28	$21.12	$48.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $138.00 / $179.00	Facility		$77.47	$138.00	$179.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $28.83 / $37.47	Facility		$23.06	$28.83	$37.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $28.83 / $35.70	Professional		$27.21	$28.83	$35.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $28.83 / $71.86	Facility		$23.06	$28.83	$71.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $22.20 / $41.31	Professional		$15.28	$22.20	$41.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $16.64 / $23.54	Professional		$12.11	$16.64	$23.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $14.24 / $28.83	Professional		$11.24	$14.24	$28.83