Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $37.72 / $104.67	Facility		$15.29	$37.72	$104.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $15.37 / $24.26	Professional		$11.32	$15.37	$24.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $66.73 / $121.72	Facility		$24.97	$66.73	$121.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.72 / $16.18	Professional		$5.00	$10.72	$16.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $20.22 / $23.30	Facility		$20.22	$20.22	$23.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.41 / $101.79	Facility		$14.13	$44.41	$101.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.80 / $33.92	Professional		$10.72	$14.80	$33.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.00 / $119.00	Facility		$55.00	$119.00	$119.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $20.22 / $26.29	Facility		$16.18	$20.22	$26.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $20.22 / $25.04	Professional		$19.26	$20.22	$25.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $20.22 / $50.83	Facility		$16.18	$20.22	$50.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.57 / $29.20	Professional		$10.72	$15.57	$29.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $8.49 / $20.22	Facility		$7.28	$8.49	$20.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $11.57 / $16.51	Professional		$8.49	$11.57	$16.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $9.99 / $20.22	Professional		$7.89	$9.99	$20.22