Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $55.39 / $161.76	Facility		$22.44	$55.39	$161.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $21.96 / $35.61	Professional		$16.62	$21.96	$35.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $97.94 / $178.67	Facility		$36.64	$97.94	$178.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.73 / $26.42	Professional		$5.00	$15.73	$26.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $29.68 / $34.20	Facility		$29.68	$29.68	$34.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $65.20 / $149.40	Facility		$20.74	$65.20	$149.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $21.66 / $50.00	Professional		$15.73	$21.66	$50.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $141.54 / $141.54	Facility		$70.77	$141.54	$141.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $29.68 / $44.07	Facility		$17.80	$29.68	$44.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $29.68 / $36.76	Professional		$28.12	$29.68	$36.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $29.68 / $73.97	Facility		$18.09	$29.68	$73.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $22.85 / $42.88	Professional		$15.73	$22.85	$42.88
United Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $29.68 / $35.61	Facility		$17.42	$29.68	$35.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.01 / $24.56	Professional		$12.47	$17.01	$24.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.66 / $29.68	Professional		$11.58	$14.66	$29.68