Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $47.05 / $128.72	Facility		$19.05	$47.05	$128.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $18.91 / $30.25	Professional		$15.13	$18.91	$30.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $81.68 / $151.01	Facility		$30.98	$81.68	$151.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.36 / $20.17	Professional		$5.00	$13.36	$20.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $27.12	Facility		$25.21	$25.21	$27.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $52.14 / $118.99	Facility		$17.62	$52.14	$118.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $17.22 / $39.94	Professional		$13.36	$17.22	$39.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.75 / $119.75	Facility		$55.00	$119.75	$119.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $25.21 / $32.77	Facility		$19.16	$25.21	$32.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $25.21 / $29.16	Professional		$23.84	$25.21	$29.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $25.21 / $59.56	Facility		$19.16	$25.21	$59.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $18.30 / $34.02	Professional		$13.36	$18.30	$34.02
United Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $25.21 / $30.25	Facility		$13.82	$25.21	$30.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.49 / $19.22	Professional		$10.59	$13.49	$19.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $11.62 / $25.21	Professional		$9.83	$11.62	$25.21