Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $28.38 / $41.13	Professional		$21.07	$28.38	$41.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $143.21 / $176.24	Facility		$47.25	$143.21	$176.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.12 / $3.12	Professional		$2.81	$3.12	$3.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $44.27 / $56.82	Facility		$44.27	$44.27	$56.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $46.96	Facility		$29.99	$29.99	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $39.36	Professional		$25.49	$29.99	$39.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $215.23 / $215.23	Facility		$80.00	$215.23	$215.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $36.61 / $56.82	Facility		$15.56	$36.61	$56.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $37.63 / $46.78	Professional		$3.77	$37.63	$46.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $31.26 / $56.82	Facility		$15.56	$31.26	$56.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $39.36	Professional		$25.49	$29.99	$39.36
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $16.71 / $32.24	Facility		$2.06	$16.71	$32.24
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $25.42 / $34.58	Professional		$18.84	$25.42	$34.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $36.15 / $36.15	Professional		$36.01	$36.15	$36.15