Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $43.04 / $116.71	Facility		$17.93	$43.04	$116.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $18.17 / $29.47	Professional		$13.75	$18.17	$29.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $73.93 / $137.78	Facility		$28.58	$73.93	$137.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $13.51 / $19.64	Professional		$5.50	$13.51	$19.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $24.56 / $24.56	Facility		$13.81	$24.56	$24.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $40.54 / $108.00	Facility		$14.34	$40.54	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $12.52 / $37.18	Professional		$8.02	$12.52	$37.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $116.66 / $116.66	Facility		$55.00	$116.66	$116.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $24.56 / $27.02	Facility		$17.19	$24.56	$27.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $24.56 / $24.56	Professional		$16.64	$24.56	$24.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $24.56 / $55.39	Facility		$15.08	$24.56	$55.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $12.52 / $24.56	Professional		$7.77	$12.52	$24.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $10.32 / $16.76	Professional		$6.87	$10.32	$16.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.82 / $24.56	Professional		$9.58	$9.82	$24.56