Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $28.49 / $39.72	Professional		$22.40	$28.49	$39.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $139.97 / $160.16	Facility		$42.94	$139.97	$160.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.90 / $2.90	Professional		$2.50	$2.90	$2.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $48.25 / $48.26	Facility		$48.25	$48.25	$48.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $50.52	Facility		$33.33	$33.33	$50.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $43.75	Professional		$28.33	$33.33	$43.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $238.49 / $238.49 / $240.40	Facility		$238.49	$238.49	$240.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $38.08 / $48.26	Facility		$18.04	$38.08	$48.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $43.83 / $48.26	Professional		$4.51	$43.83	$48.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $33.33 / $48.26	Facility		$18.04	$33.33	$48.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $43.75	Professional		$28.33	$33.33	$43.75
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $27.17 / $40.08	Professional		$20.07	$27.17	$40.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $41.00 / $41.00	Professional		$36.24	$41.00	$41.00