Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $47.71 / $125.55	Facility		$19.32	$47.71	$125.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $18.92 / $30.68	Professional		$14.32	$18.92	$30.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $81.31 / $153.16	Facility		$27.79	$81.31	$153.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.55 / $20.46	Professional		$5.00	$13.55	$20.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $25.57 / $25.57	Facility		$22.61	$25.57	$25.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $45.59 / $108.21	Facility		$17.87	$45.59	$108.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $20.91 / $38.84	Professional		$13.11	$20.91	$38.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $121.46 / $121.46	Facility		$55.00	$121.46	$121.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.57 / $30.68	Facility		$18.62	$25.57	$30.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $25.57 / $25.57	Professional		$24.15	$25.57	$25.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.57 / $58.61	Facility		$18.62	$25.57	$58.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $21.95 / $28.35	Professional		$13.11	$21.95	$28.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.51 / $20.56	Professional		$10.74	$11.51	$20.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $25.57	Professional		$10.23	$10.23	$25.57