Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $68.23 / $230.69	Facility		$27.64	$68.23	$230.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $27.42 / $43.87	Professional		$21.94	$27.42	$43.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $129.06 / $247.45	Facility		$47.53	$129.06	$247.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $59.80	Facility		$36.56	$36.56	$59.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $85.79 / $239.90	Facility		$35.64	$85.79	$239.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $40.67 / $61.82	Professional		$19.38	$40.67	$61.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $344.35 / $344.35	Facility		$270.83	$344.35	$344.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $36.56 / $65.28	Facility		$27.79	$36.56	$65.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $36.56 / $69.92	Professional		$32.90	$36.56	$69.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $36.56 / $122.48	Facility		$29.25	$36.56	$122.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $39.14 / $81.56	Professional		$19.38	$39.14	$81.56
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $23.76 / $46.04	Professional		$15.36	$23.76	$46.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.05 / $36.56	Professional		$14.26	$18.05	$36.56