Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $54.27 / $142.78	Facility		$21.98	$54.27	$142.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $21.65 / $34.90	Professional		$17.45	$21.65	$34.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $92.79 / $164.30	Facility		$35.26	$92.79	$164.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.41 / $25.88	Professional		$5.00	$15.41	$25.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $29.08 / $29.08	Facility		$28.87	$29.08	$29.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $57.82 / $129.87	Facility		$20.32	$57.82	$129.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $18.55 / $44.40	Professional		$15.31	$18.55	$44.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $138.13 / $138.13	Facility		$58.89	$138.13	$138.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $29.08 / $37.19	Facility		$22.10	$29.08	$37.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $29.08 / $29.08	Professional		$26.17	$29.08	$29.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $29.08 / $67.30	Facility		$22.10	$29.08	$67.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $19.27 / $30.37	Professional		$15.41	$19.27	$30.37
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $14.36 / $21.29	Professional		$12.21	$14.36	$21.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $12.37 / $29.08	Professional		$11.34	$12.37	$29.08