Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $36.90 / $41.90	Facility		$28.43	$36.90	$41.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $37.40 / $49.88	Professional		$27.93	$37.40	$49.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $53.05 / $155.85	Facility		$32.53	$53.05	$155.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $30.43 / $30.43	Professional		$30.43	$30.43	$30.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $56.97 / $56.97	Facility		$56.97	$56.97	$56.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.27 / $41.27 / $41.27	Facility		$41.27	$41.27	$41.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $23.24	Professional		$23.24	$23.24	$23.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $257.45 / $270.61	Facility		$116.14	$257.45	$270.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $367.11 / $375.93 / $427.28	Professional		$367.11	$375.93	$427.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $42.73 / $56.97	Facility		$15.59	$42.73	$56.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $51.27 / $56.97	Professional		$19.23	$51.27	$56.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $40.76 / $56.97	Facility		$15.59	$40.76	$56.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $47.29	Professional		$23.24	$23.24	$47.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $26.27 / $34.65	Professional		$20.13	$26.27	$34.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.53 / $56.97	Professional		$28.37	$28.53	$56.97