Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $42.02 / $111.96	Facility		$17.03	$42.02	$111.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.12 / $27.02	Professional		$12.61	$17.12	$27.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $74.31 / $135.57	Facility		$27.92	$74.31	$135.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.94 / $19.66	Professional		$5.00	$11.94	$19.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $25.95	Facility		$22.52	$22.52	$25.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $49.48 / $113.69	Facility		$15.74	$49.48	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $16.43 / $37.75	Professional		$11.94	$16.43	$37.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.00 / $119.00	Facility		$55.00	$119.00	$119.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $22.52 / $29.28	Facility		$18.02	$22.52	$29.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $22.52 / $27.88	Professional		$21.40	$22.52	$27.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $22.52 / $56.10	Facility		$18.02	$22.52	$56.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $17.30 / $32.53	Professional		$11.94	$17.30	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.00 / $23.59	Professional		$9.46	$13.00	$23.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.12 / $22.52	Professional		$8.77	$11.12	$22.52