Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $40.09 / $104.61	Facility		$15.90	$40.09	$104.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $16.11 / $25.78	Professional		$12.03	$16.11	$25.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $67.02 / $121.79	Facility		$21.48	$67.02	$121.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.38 / $15.90	Professional		$5.00	$11.38	$15.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $21.48 / $21.48	Facility		$10.40	$21.48	$21.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $47.18 / $105.25	Facility		$15.01	$47.18	$105.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.70 / $36.00	Professional		$11.38	$15.70	$36.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $108.00 / $192.00	Facility		$55.00	$108.00	$192.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $21.48 / $26.85	Facility		$15.04	$21.48	$26.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $21.48 / $26.60	Professional		$19.32	$21.48	$26.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $21.48 / $49.68	Facility		$16.11	$21.48	$49.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.93 / $31.15	Professional		$11.38	$15.93	$31.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.29 / $14.39	Professional		$9.02	$12.29	$14.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $10.61 / $21.48	Professional		$8.38	$10.61	$21.48