Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $120.20 / $333.35	Facility		$48.70	$120.20	$333.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $48.95 / $77.29	Professional		$36.07	$48.95	$77.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $212.55 / $387.75	Facility		$79.52	$212.55	$387.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $34.14 / $61.83	Professional		$5.00	$34.14	$61.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $74.22	Facility		$64.41	$64.41	$74.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $140.68 / $295.05	Facility		$45.01	$140.68	$295.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $47.11 / $108.87	Professional		$34.14	$47.11	$108.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $307.83 / $307.83	Facility		$135.00	$307.83	$307.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $64.41 / $80.98	Facility		$48.95	$64.41	$80.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $64.41 / $83.94	Professional		$57.97	$64.41	$83.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $64.41 / $160.53	Facility		$51.53	$64.41	$160.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $49.60 / $93.05	Professional		$34.14	$49.60	$93.05
United Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $64.41 / $77.29	Facility		$37.79	$64.41	$77.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $37.79 / $53.29	Professional		$27.05	$37.79	$53.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.81 / $64.41	Professional		$25.12	$31.81	$64.41