Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $59.39 / $126.61	Facility		$14.82	$59.39	$126.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.90 / $32.02	Professional		$11.75	$14.90	$32.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $64.68 / $117.40	Facility		$24.50	$64.68	$117.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.39 / $17.44	Professional		$5.00	$10.39	$17.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $22.58	Facility		$19.60	$19.60	$22.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $43.06 / $99.16	Facility		$13.70	$43.06	$99.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.26 / $58.65	Professional		$10.39	$14.26	$58.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.61 / $98.68 / $100.00	Facility		$77.61	$98.68	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $19.60 / $25.48	Facility		$15.68	$19.60	$25.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $19.60 / $24.26	Professional		$18.64	$19.60	$24.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $19.60 / $48.82	Facility		$15.68	$19.60	$48.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $15.06 / $28.07	Professional		$10.39	$15.06	$28.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.29 / $16.00	Professional		$8.23	$11.29	$16.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.68 / $19.60	Professional		$7.64	$9.68	$19.60