Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $39.06 / $102.90	Facility		$15.83	$39.06	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $15.70 / $25.13	Professional		$12.56	$15.70	$25.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $68.47 / $125.43	Facility		$26.50	$68.47	$125.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.10 / $16.75	Professional		$5.00	$11.10	$16.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $20.94 / $21.70	Facility		$20.94	$20.94	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $41.65 / $95.18	Facility		$14.63	$41.65	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.91 / $32.01	Professional		$11.10	$13.91	$32.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.28 / $118.61 / $118.61	Facility		$93.28	$118.61	$118.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $20.94 / $27.22	Facility		$15.91	$20.94	$27.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $20.94 / $22.48	Professional		$19.87	$20.94	$22.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $20.94 / $49.90	Facility		$15.91	$20.94	$49.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.66 / $26.23	Professional		$11.10	$14.66	$26.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $11.05 / $16.18	Professional		$8.78	$11.05	$16.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $9.30 / $20.94	Professional		$8.17	$9.30	$20.94