Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $65.09 / $189.05	Facility		$15.70	$65.09	$189.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $24.11 / $33.53	Professional		$20.46	$24.11	$33.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $114.70 / $201.28	Facility		$42.74	$114.70	$201.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $44.93 / $51.14	Professional		$5.50	$44.93	$51.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $36.53 / $36.53	Facility		$30.85	$36.53	$36.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $61.71 / $155.85	Facility		$25.52	$61.71	$155.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $20.04 / $55.75	Professional		$17.59	$20.04	$55.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $173.52 / $173.52	Facility		$80.00	$173.52	$173.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $36.53 / $44.20	Facility		$25.57	$36.53	$44.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $36.53 / $36.53	Professional		$31.05	$36.53	$36.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $36.53 / $74.16	Facility		$25.57	$36.53	$74.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $22.38 / $36.53	Professional		$17.59	$22.38	$36.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.93 / $21.92	Professional		$15.32	$15.93	$21.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.61 / $36.53	Professional		$14.25	$14.61	$36.53