Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $50.50 / $67.08	Professional		$38.11	$50.50	$67.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.27 / $256.27 / $295.56	Facility		$76.27	$256.27	$295.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.07 / $5.07	Professional		$5.07	$5.07	$5.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.33 / $85.33 / $91.73	Facility		$85.33	$85.33	$91.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $84.91	Facility		$44.33	$44.33	$84.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $67.81	Professional		$37.68	$37.68	$67.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.03 / $407.44 / $407.44	Facility		$134.03	$407.44	$407.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $62.21 / $91.73	Facility		$25.13	$62.21	$91.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $71.79 / $85.33	Professional		$7.85	$71.79	$85.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $54.10 / $91.73	Facility		$25.13	$54.10	$91.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $37.68 / $71.79	Professional		$25.13	$37.68	$71.79
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $42.33 / $55.84	Professional		$31.59	$42.33	$55.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $69.44 / $69.44	Professional		$58.57	$69.44	$69.44