Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $90.56 / $325.66	Facility		$45.23	$90.56	$325.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $45.23	Professional		$45.22	$45.23	$45.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $126.33 / $238.63	Facility		$45.28	$126.33	$238.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $45.23 / $45.23	Professional		$27.14	$45.23	$45.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.28	Facility		$45.23	$45.23	$45.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $45.91 / $175.46	Facility		$30.76	$45.91	$175.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $45.23 / $66.00	Professional		$25.40	$45.23	$66.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $215.08 / $215.08	Facility		$72.45	$215.08	$215.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.28 / $49.81	Facility		$45.23	$45.28	$49.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $45.28 / $45.28	Professional		$40.75	$45.28	$45.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.28 / $54.34	Facility		$45.23	$45.28	$54.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $42.97 / $47.49	Professional		$30.76	$42.97	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $45.23	Professional		$27.14	$27.14	$45.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $18.11 / $45.28	Professional		$17.66	$18.11	$45.28