Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $42.86 / $110.06	Facility		$17.36	$42.86	$110.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $17.00 / $27.56	Professional		$12.86	$17.00	$27.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $72.59 / $137.59	Facility		$24.81	$72.59	$137.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.17 / $18.38	Professional		$5.00	$12.17	$18.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $22.97 / $22.97	Facility		$19.61	$22.97	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $40.03 / $102.66	Facility		$16.05	$40.03	$102.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.70 / $35.10	Professional		$11.10	$12.70	$35.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $109.11 / $118.00	Facility		$55.94	$109.11	$118.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $22.97 / $27.56	Facility		$16.73	$22.97	$27.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.97 / $22.97	Professional		$21.31	$22.97	$22.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $22.97 / $52.68	Facility		$16.54	$22.97	$52.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.23 / $24.87	Professional		$11.10	$13.23	$24.87
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $10.10 / $16.80	Professional		$9.65	$10.10	$16.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $9.19 / $22.97	Professional		$8.96	$9.19	$22.97