Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $45.34 / $125.78	Facility		$18.37	$45.34	$125.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $18.23 / $29.16	Professional		$14.58	$18.23	$29.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $78.73 / $136.32	Facility		$31.59	$78.73	$136.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.37 / $34.02	Professional		$5.00	$13.37	$34.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $24.30 / $28.01	Facility		$24.30	$24.30	$28.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $53.40 / $122.97	Facility		$16.98	$53.40	$122.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.69 / $41.03	Professional		$12.88	$17.69	$41.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $145.00 / $173.00	Facility		$94.00	$145.00	$173.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $24.30 / $31.59	Facility		$19.44	$24.30	$31.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $24.30 / $31.67	Professional		$21.87	$24.30	$31.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $24.30 / $60.83	Facility		$19.44	$24.30	$60.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.71 / $34.83	Professional		$12.88	$18.71	$34.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.04 / $21.00	Professional		$10.21	$14.04	$21.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $12.00 / $24.30	Professional		$9.48	$12.00	$24.30