Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $20.29 / $106.88	Professional		$15.04	$20.29	$106.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $14.88	Professional		$5.00	$5.50	$14.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $128.49 / $128.49	Facility		$42.77	$128.49	$128.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $146.19 / $202.88	Professional		$142.29	$146.19	$202.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $31.77 / $47.34	Facility		$22.72	$31.77	$47.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.05 / $33.81	Professional		$25.70	$27.05	$33.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $31.61 / $50.79	Facility		$22.20	$31.61	$50.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $33.81	Professional		$14.22	$14.22	$33.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.59 / $19.30	Professional		$11.36	$11.59	$19.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $14.01 / $27.05	Professional		$10.55	$14.01	$27.05