Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $30.04 / $42.21	Professional		$21.65	$30.04	$42.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $167.44 / $187.40	Facility		$50.24	$167.44	$187.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.34 / $3.34	Professional		$3.23	$3.34	$3.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $52.79 / $60.43	Facility		$52.79	$52.79	$60.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $51.17	Facility		$26.10	$26.10	$51.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $46.21	Professional		$22.19	$26.10	$46.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $252.49 / $252.49	Facility		$95.30	$252.49	$252.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $38.93 / $60.43	Facility		$16.91	$38.93	$60.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $44.87 / $52.79	Professional		$4.86	$44.87	$52.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $32.74 / $60.43	Facility		$16.91	$32.74	$60.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $40.49	Professional		$22.19	$26.10	$40.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $20.77 / $32.70	Facility		$2.40	$20.77	$32.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $28.49 / $37.58	Professional		$21.03	$28.49	$37.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $42.06 / $42.06	Professional		$39.50	$42.06	$42.06