Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $84.26 / $286.91	Facility		$42.13	$84.26	$286.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $42.13 / $42.13	Professional		$25.28	$42.13	$42.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $29.11 / $84.19	Facility		$26.61	$29.11	$84.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $42.13 / $61.00	Professional		$21.30	$42.13	$61.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $200.12 / $200.12	Facility		$67.41	$200.12	$200.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Facility		$42.13	$42.13	$46.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $42.13 / $42.13	Professional		$35.81	$42.13	$42.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $42.13 / $50.56	Facility		$39.56	$42.13	$50.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $40.02 / $44.24	Professional		$21.99	$40.02	$44.24
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $27.87	Professional		$16.72	$17.73	$27.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.85 / $42.13	Professional		$16.43	$16.85	$42.13