Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $52.03 / $190.87	Facility		$24.10	$52.03	$190.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $29.73 / $48.20	Professional		$22.50	$29.73	$48.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $161.47 / $204.87	Facility		$137.38	$161.47	$204.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.29 / $27.31	Professional		$5.00	$21.29	$27.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $40.17 / $40.17	Facility		$11.94	$40.17	$40.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $51.98 / $161.62	Facility		$12.37	$51.98	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $20.43 / $58.00	Professional		$6.94	$20.43	$58.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $190.81 / $190.81	Facility		$64.27	$190.81	$190.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $40.17 / $43.09	Facility		$15.93	$40.17	$43.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $40.17 / $40.17	Professional		$14.37	$40.17	$40.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $40.17 / $68.41	Facility		$13.83	$40.17	$68.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $11.65 / $40.17	Professional		$6.66	$11.65	$40.17
United Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $14.06 / $50.21	Facility		$7.11	$14.06	$50.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $16.87 / $24.10	Professional		$5.94	$16.87	$24.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $16.07 / $40.17	Professional		$15.67	$16.07	$40.17