Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $22.78 / $51.93	Facility		$22.78	$22.78	$51.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $22.78 / $27.34	Professional		$19.36	$22.78	$27.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $47.38 / $94.54	Facility		$19.47	$47.38	$94.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $8.31 / $8.31	Facility		$8.31	$8.31	$8.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Facility		$21.40	$21.40	$21.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $90.00 / $100.00	Facility		$28.87	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $22.78 / $61.44	Facility		$21.64	$22.78	$61.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $32.58	Facility		$21.40	$21.40	$32.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
United Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $25.74 / $26.88	Professional		$21.64	$25.74	$26.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $29.21	Professional		$19.48	$19.48	$29.21