Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $73.27 / $191.88	Facility		$29.21	$73.27	$191.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $27.48 / $54.60	Professional		$21.99	$27.48	$54.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $125.24 / $235.17	Facility		$49.07	$125.24	$235.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $80.00	Facility		$39.26	$39.26	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $85.75 / $200.77	Facility		$40.20	$85.75	$200.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $26.01 / $77.45	Professional		$20.12	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $186.49 / $206.00	Facility		$88.87	$186.49	$206.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.62 / $52.09 / $87.97	Facility		$30.62	$52.09	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $49.08	Professional		$39.26	$39.26	$49.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $56.50 / $140.84	Facility		$31.80	$56.50	$140.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $37.36 / $72.03	Professional		$20.81	$37.36	$72.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.60 / $29.83	Professional		$16.48	$20.60	$29.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.34 / $39.26	Professional		$17.32	$20.34	$39.26