Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $40.89 / $46.41	Facility		$31.49	$40.89	$46.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $41.44 / $55.25	Professional		$30.94	$41.44	$55.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $77.66 / $177.91	Facility		$30.82	$77.66	$177.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $46.83	Facility		$37.90	$37.90	$46.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $44.60	Professional		$32.22	$32.22	$44.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $299.73 / $299.73	Facility		$128.09	$299.73	$299.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $314.24 / $473.25	Professional		$314.24	$314.24	$473.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $46.41 / $63.10	Facility		$17.28	$46.41	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $56.79 / $63.10	Professional		$38.61	$56.79	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $45.16 / $63.10	Facility		$17.28	$45.16	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $52.47	Professional		$32.22	$32.22	$52.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $29.11 / $38.39	Professional		$22.30	$29.11	$38.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $40.26 / $63.10	Professional		$40.26	$40.26	$63.10