Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $63.20 / $160.91	Facility		$25.60	$63.20	$160.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $25.06 / $40.63	Professional		$18.96	$25.06	$40.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $106.32 / $193.00	Facility		$37.25	$106.32	$193.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.95 / $30.47	Professional		$5.00	$17.95	$30.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $33.86 / $33.86	Facility		$28.60	$33.86	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $57.26 / $144.29	Facility		$23.66	$57.26	$144.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.55 / $51.63	Professional		$15.85	$18.55	$51.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $160.84 / $160.84	Facility		$80.00	$160.84	$160.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $33.86 / $40.39	Facility		$24.66	$33.86	$40.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $33.86 / $33.86	Professional		$30.47	$33.86	$33.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $33.86 / $85.16	Facility		$24.66	$33.86	$85.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.07 / $35.86	Professional		$15.85	$26.07	$35.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.57 / $26.01	Professional		$14.20	$14.57	$26.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.54 / $33.86	Professional		$13.21	$13.54	$33.86