Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $86.47 / $382.32	Facility		$30.92	$86.47	$382.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $56.32 / $96.55	Professional		$40.22	$56.32	$96.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $218.05 / $420.81	Facility		$66.78	$218.05	$420.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $42.64 / $63.23	Professional		$5.00	$42.64	$63.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $80.45 / $80.45	Facility		$9.42	$80.45	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $65.38 / $323.74	Facility		$10.28	$65.38	$323.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $22.43 / $117.00	Professional		$5.76	$22.43	$117.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.74 / $382.19 / $382.19	Facility		$128.74	$382.19	$382.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $80.45 / $86.30	Facility		$13.25	$80.45	$86.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $80.45 / $80.45	Professional		$11.35	$80.45	$80.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $80.45 / $134.65	Facility		$11.24	$80.45	$134.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $11.13 / $80.45	Professional		$5.76	$11.13	$80.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $30.57 / $48.28	Professional		$4.94	$30.57	$48.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $32.18 / $80.45	Professional		$31.38	$32.18	$80.45