Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $40.89 / $50.12	Professional		$29.85	$40.89	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $59.49 / $221.90	Facility		$55.56	$59.49	$221.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.00 / $4.00	Professional		$3.60	$4.00	$4.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $63.61 / $68.98	Facility		$63.61	$63.61	$68.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $65.20	Facility		$43.15	$43.15	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $56.64	Professional		$36.68	$43.15	$56.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.82 / $309.02 / $309.02	Facility		$104.82	$309.02	$309.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $49.85 / $68.98	Facility		$40.89	$49.85	$68.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $54.07 / $63.61	Professional		$32.28	$54.07	$63.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $46.16 / $68.98	Facility		$42.80	$46.16	$68.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $56.64	Professional		$36.68	$43.15	$56.64
United Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $36.15 / $54.34	Professional		$26.61	$36.15	$54.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $50.63 / $50.63	Professional		$50.63	$50.63	$50.63