Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $31.62	Professional		$14.13	$22.91	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $25.70	Professional		$5.01	$5.50	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $239.88	Professional		$158.49	$239.88	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $47.86	Facility		$20.89	$30.90	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $38.02	Professional		$16.98	$22.91	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.84 / $47.86	Facility		$19.50	$28.84	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $22.91	Professional		$8.91	$13.49	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $31.62	Professional		$12.59	$12.59	$31.62