Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $34.08 / $55.18	Facility		$34.08	$34.08	$55.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $34.08 / $34.08	Professional		$28.97	$34.08	$34.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $53.28 / $107.82	Facility		$24.75	$53.28	$107.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Professional		$31.53	$31.53	$31.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Facility		$31.94	$31.94	$31.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $90.00 / $127.80	Facility		$37.58	$90.00	$127.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $34.08 / $48.73	Facility		$32.36	$34.08	$48.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Professional		$27.36	$27.36	$27.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $31.94 / $48.73	Facility		$28.52	$31.94	$48.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $38.21 / $38.21	Professional		$30.76	$38.21	$38.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $43.70	Professional		$29.14	$29.14	$43.70