Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $56.64 / $73.05	Professional		$39.49	$56.64	$73.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.09 / $277.63 / $339.77	Facility		$91.09	$277.63	$339.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.41 / $6.41	Professional		$5.77	$6.41	$6.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $89.66 / $109.55	Facility		$89.66	$89.66	$109.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $85.94	Facility		$44.10	$44.10	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.10 / $73.59	Professional		$37.49	$44.10	$73.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $402.15 / $411.68	Facility		$135.52	$402.15	$411.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $66.61 / $109.55	Facility		$29.99	$66.61	$109.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $76.20 / $91.69	Professional		$8.25	$76.20	$91.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $58.94 / $109.55	Facility		$29.99	$58.94	$109.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.10 / $68.56	Professional		$37.49	$44.10	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $49.10 / $66.65	Professional		$35.42	$49.10	$66.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $68.97 / $69.91	Professional		$68.97	$68.97	$69.91