Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $55.82 / $145.76	Facility		$22.62	$55.82	$145.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $21.62 / $35.90	Professional		$17.95	$21.62	$35.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $92.15 / $161.57	Facility		$33.03	$92.15	$161.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $16.46 / $23.89	Professional		$9.69	$16.46	$23.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $29.92 / $29.92	Facility		$16.86	$29.92	$29.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $51.70 / $132.87	Facility		$20.91	$51.70	$132.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $24.98 / $74.20	Professional		$18.79	$24.98	$74.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $183.39 / $183.39	Facility		$81.48	$183.39	$183.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $29.92 / $36.38	Facility		$21.79	$29.92	$36.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $29.92 / $32.74	Professional		$26.93	$29.92	$32.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $29.92 / $68.31	Facility		$21.79	$29.92	$68.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $25.89 / $33.71	Professional		$17.23	$25.89	$33.71
United Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $29.92 / $36.90	Facility		$13.48	$29.92	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $13.15 / $19.26	Professional		$12.57	$13.15	$19.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.97 / $29.92	Professional		$11.67	$11.97	$29.92