Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $40.09 / $106.84	Facility		$16.23	$40.09	$106.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $16.32 / $25.78	Professional		$12.03	$16.32	$25.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $74.31 / $139.88	Facility		$25.78	$74.31	$139.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.38 / $16.23	Professional		$5.00	$11.38	$16.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $24.75	Facility		$21.48	$21.48	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $47.18 / $108.40	Facility		$15.01	$47.18	$108.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.70 / $36.11	Professional		$11.38	$15.70	$36.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $102.60 / $138.00	Facility		$70.43	$102.60	$138.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $21.48 / $27.92	Facility		$17.18	$21.48	$27.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $21.48 / $26.60	Professional		$20.17	$21.48	$26.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $21.48 / $53.53	Facility		$17.18	$21.48	$53.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $16.52 / $31.04	Professional		$11.38	$16.52	$31.04
United Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $15.88 / $26.85	Facility		$7.52	$15.88	$26.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.29 / $17.77	Professional		$9.02	$12.29	$17.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $10.61 / $21.48	Professional		$8.38	$10.61	$21.48