Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $39.68 / $104.59	Facility		$16.07	$39.68	$104.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $15.95 / $25.52	Professional		$12.76	$15.95	$25.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $68.48 / $119.32	Facility		$27.10	$68.48	$119.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.27 / $14.53	Professional		$5.00	$11.27	$14.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $22.05	Facility		$21.27	$21.27	$22.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $42.56 / $96.53	Facility		$14.86	$42.56	$96.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $14.31 / $32.53	Professional		$11.27	$14.31	$32.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $101.03 / $101.03	Facility		$55.00	$101.03	$101.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $21.27 / $27.65	Facility		$16.17	$21.27	$27.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.27 / $24.94	Professional		$19.14	$21.27	$24.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $21.27 / $50.70	Facility		$16.17	$21.27	$50.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $14.71 / $27.41	Professional		$11.27	$14.71	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $10.95 / $15.62	Professional		$8.93	$10.95	$15.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $9.44 / $21.27	Professional		$8.30	$9.44	$21.27