Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $61.29 / $88.94	Professional		$46.98	$61.29	$88.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $399.64 / $460.92	Facility		$118.94	$399.64	$460.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $7.89 / $7.89	Professional		$6.81	$7.89	$7.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $88.93 / $143.05	Facility		$88.93	$88.93	$143.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $104.68	Facility		$60.78	$60.78	$104.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $79.77	Professional		$51.66	$51.66	$79.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $435.85 / $435.85	Facility		$139.69	$435.85	$435.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $89.09 / $143.05	Facility		$45.43	$89.09	$143.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $81.81 / $129.90	Professional		$13.16	$81.81	$129.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $74.59 / $143.05	Facility		$45.43	$74.59	$143.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $51.66 / $117.71	Professional		$45.43	$51.66	$117.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $63.49 / $100.96	Professional		$39.60	$63.49	$100.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $73.63 / $73.63	Professional		$72.37	$73.63	$73.63