Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $50.16 / $129.60	Facility		$20.32	$50.16	$129.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $18.82 / $35.82	Professional		$15.05	$18.82	$35.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $66.66 / $140.85	Facility		$33.33	$66.66	$140.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.78 / $37.63	Professional		$5.00	$14.78	$37.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $80.00	Facility		$26.88	$26.88	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $58.70 / $119.27	Facility		$23.37	$58.70	$119.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.04 / $45.56	Professional		$12.84	$17.04	$45.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $127.68 / $150.00	Facility		$55.00	$127.68	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $201.60	Professional		$180.90	$180.90	$201.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $32.26 / $50.26	Facility		$20.97	$32.26	$50.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $26.88 / $33.60	Professional		$25.54	$26.88	$33.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $34.94 / $91.57	Facility		$21.47	$34.94	$91.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.43 / $44.84	Professional		$12.88	$25.43	$44.84
United Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $11.29 / $26.88	Facility		$9.68	$11.29	$26.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.77 / $18.48	Professional		$11.29	$11.77	$18.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.92 / $26.88	Professional		$10.75	$13.92	$26.88