Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $45.75 / $126.87	Facility		$18.53	$45.75	$126.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $20.83 / $29.41	Professional		$14.71	$20.83	$29.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $80.78 / $147.55	Facility		$30.26	$80.78	$147.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.99 / $21.81	Professional		$5.00	$12.99	$21.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $24.51 / $28.24	Facility		$24.51	$24.51	$28.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $53.84 / $124.28	Facility		$17.13	$53.84	$124.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $17.87 / $41.58	Professional		$12.99	$17.87	$41.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $116.76 / $116.76	Facility		$55.00	$116.76	$116.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $24.51 / $31.86	Facility		$19.61	$24.51	$31.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $24.51 / $30.34	Professional		$23.23	$24.51	$30.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $24.51 / $61.61	Facility		$19.61	$24.51	$61.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $18.87 / $35.10	Professional		$12.99	$18.87	$35.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.02 / $20.28	Professional		$10.29	$14.02	$20.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.10 / $24.51	Professional		$9.56	$12.10	$24.51