Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $35.89 / $48.37	Facility		$33.75	$35.89	$48.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $38.76 / $53.10	Professional		$33.75	$38.76	$53.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.18 / $42.18 / $42.18	Professional	25	$42.18	$42.18	$42.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $31.32 / $43.86	Professional		$27.75	$31.32	$43.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Facility		$41.76	$41.76	$41.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $32.13 / $32.13	Facility		$32.13	$32.13	$32.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $48.23 / $66.13	Professional		$34.36	$48.23	$66.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $198.88 / $198.88	Facility		$85.28	$198.88	$198.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $268.26 / $268.26	Professional		$268.26	$268.26	$268.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $53.55 / $75.45	Facility		$38.68	$53.55	$75.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $37.84 / $54.15	Professional		$37.61	$37.84	$54.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $47.85 / $76.02	Facility		$35.00	$47.85	$76.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $52.65 / $66.13	Professional		$37.61	$52.65	$66.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $45.11 / $60.10	Professional		$33.83	$45.11	$60.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $32.85 / $52.22	Professional		$32.85	$32.85	$52.22