Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $53.18 / $138.84	Facility		$21.20	$53.18	$138.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $18.80 / $34.20	Professional		$15.96	$18.80	$34.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $87.21 / $160.13	Facility		$31.35	$87.21	$160.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.11 / $28.21	Professional		$5.00	$15.11	$28.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $28.50 / $28.50	Facility		$22.95	$28.50	$28.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $47.07 / $125.98	Facility		$19.91	$47.07	$125.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $14.72 / $43.22	Professional		$13.04	$14.72	$43.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $135.38 / $135.38	Facility		$55.00	$135.38	$135.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $28.50 / $34.20	Facility		$20.76	$28.50	$34.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $28.50 / $28.50	Professional		$25.65	$28.50	$28.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $28.50 / $65.38	Facility		$20.76	$28.50	$65.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $16.69 / $28.53	Professional		$13.04	$16.69	$28.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.97 / $17.10	Professional		$11.39	$11.97	$17.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.40 / $28.50	Professional		$11.12	$11.40	$28.50