Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.64 / $36.72	Professional		$19.95	$27.64	$36.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $53.00	Facility		$45.76	$45.76	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $46.47	Facility		$30.64	$30.64	$46.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $26.04 / $36.38	Professional		$26.04	$26.04	$36.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $219.96 / $219.96	Facility		$80.00	$219.96	$219.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $31.36 / $53.00	Facility		$14.51	$31.36	$53.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $38.90 / $45.76	Professional		$4.21	$38.90	$45.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $30.64 / $53.00	Facility		$14.51	$30.64	$53.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $26.04 / $41.50	Professional		$14.51	$26.04	$41.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.46 / $32.25	Professional		$17.32	$24.46	$32.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $37.45 / $37.45	Professional		$33.83	$37.45	$37.45