Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $43.17 / $119.72	Facility		$17.48	$43.17	$119.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.12 / $27.76	Professional		$12.95	$17.12	$27.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $75.93 / $134.97	Facility		$28.43	$75.93	$134.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.72 / $23.13	Professional		$9.34	$12.72	$23.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $23.13 / $25.77	Facility		$16.86	$23.13	$25.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $49.48 / $112.38	Facility		$16.16	$49.48	$112.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $23.38 / $73.70	Professional		$16.32	$23.38	$73.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $182.22 / $182.22	Facility		$77.31	$182.22	$182.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $23.13 / $33.40	Facility		$19.66	$23.13	$33.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $23.13 / $32.06	Professional		$20.82	$23.13	$32.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $23.13 / $56.23	Facility		$19.66	$23.13	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $23.13 / $33.63	Professional		$16.32	$23.13	$33.63
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.12 / $19.00	Professional		$9.71	$13.12	$19.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.04 / $23.13	Professional		$9.02	$11.04	$23.13