Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $52.54 / $204.33	Facility		$34.95	$52.54	$204.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $34.95 / $43.33	Professional		$31.67	$34.95	$43.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $52.05 / $109.13	Facility		$22.83	$52.05	$109.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Professional		$32.65	$32.65	$32.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Facility		$32.76	$32.76	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $100.00 / $121.46	Facility		$88.00	$100.00	$121.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $34.28 / $49.98	Facility		$24.44	$34.28	$49.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $31.67 / $39.20	Professional		$29.96	$31.67	$39.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $32.76 / $49.98	Facility		$27.53	$32.76	$49.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $32.76 / $32.76	Professional		$31.67	$32.76	$32.76
United Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $34.53 / $34.95	Professional		$27.80	$34.53	$34.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $27.69 / $42.75	Professional		$27.69	$27.69	$42.75