Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $35.82 / $50.88	Professional		$27.86	$35.82	$50.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.16 / $4.16	Professional		$3.81	$4.16	$4.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $59.52 / $68.06	Facility		$59.52	$59.52	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $64.15	Facility		$42.67	$42.67	$64.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $56.01	Professional		$36.27	$42.67	$56.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $305.83 / $305.83	Facility		$100.00	$305.83	$305.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $45.75 / $68.06	Facility		$25.44	$45.75	$68.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $50.59 / $62.62	Professional		$6.70	$50.59	$62.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $42.67 / $68.06	Facility		$25.44	$42.67	$68.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $56.01	Professional		$36.27	$42.67	$56.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $36.22 / $56.53	Professional		$25.23	$36.22	$56.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $52.09 / $52.09	Professional		$50.43	$52.09	$52.09