Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $40.86 / $106.66	Facility		$16.55	$40.86	$106.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $16.21 / $26.28	Professional		$12.84	$16.21	$26.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $68.33 / $124.83	Facility		$24.99	$68.33	$124.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.61 / $19.48	Professional		$5.00	$11.61	$19.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $21.90 / $21.90	Facility		$20.32	$21.90	$21.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $40.59 / $98.16	Facility		$15.30	$40.59	$98.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $13.10 / $33.56	Professional		$11.13	$13.10	$33.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $104.03 / $104.03	Facility		$55.00	$104.03	$104.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $21.90 / $26.28	Facility		$15.95	$21.90	$26.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $21.90 / $22.99	Professional		$19.71	$21.90	$22.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $21.90 / $50.48	Facility		$15.95	$21.90	$50.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.79 / $25.49	Professional		$11.23	$14.79	$25.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $10.35 / $16.80	Professional		$9.19	$10.35	$16.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.76 / $21.90	Professional		$8.53	$8.76	$21.90