Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $72.98 / $185.83	Facility		$29.57	$72.98	$185.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $25.81 / $46.93	Professional		$21.66	$25.81	$46.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $114.59 / $204.94	Facility		$43.02	$114.59	$204.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.73 / $38.72	Professional		$5.00	$20.73	$38.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $39.11 / $39.11	Facility		$39.11	$39.11	$39.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $64.56 / $172.48	Facility		$27.27	$64.56	$172.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.88 / $59.38	Professional		$17.05	$19.88	$59.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $185.77 / $185.77	Facility		$68.05	$185.77	$185.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $39.11 / $46.61	Facility		$28.49	$39.11	$46.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $39.11 / $39.11	Professional		$33.24	$39.11	$39.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $39.11 / $89.42	Facility		$27.38	$39.11	$89.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $21.35 / $39.11	Professional		$17.05	$21.35	$39.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $16.43 / $23.47	Professional		$14.57	$16.43	$23.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.64 / $39.11	Professional		$15.25	$15.64	$39.11