Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $41.95 / $109.48	Facility		$16.64	$41.95	$109.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.86 / $36.19	Professional		$12.59	$16.86	$36.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $70.81 / $129.71	Facility		$25.63	$70.81	$129.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $15.74	Professional		$5.00	$5.50	$15.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $33.72 / $33.72	Facility		$22.48	$33.72	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $38.35 / $95.25	Facility		$15.71	$38.35	$95.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $18.77 / $34.08	Professional		$11.29	$18.77	$34.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $106.78 / $106.78	Facility		$80.00	$106.78	$106.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.48 / $24.73	Facility		$12.59	$22.48	$24.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $22.48 / $22.48	Professional		$20.23	$22.48	$22.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.48 / $53.12	Facility		$13.49	$22.48	$53.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $18.77 / $23.87	Professional		$11.29	$18.77	$23.87
United Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $22.48 / $26.98	Facility		$9.90	$22.48	$26.98
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.52 / $22.48	Professional		$13.49	$13.52	$22.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $22.48	Professional		$8.99	$8.99	$22.48