Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $156.47	Facility		$23.15	$23.15	$156.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.15 / $23.15	Professional		$5.00	$23.15	$23.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $21.82 / $24.80	Facility		$19.34	$21.82	$24.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.30 / $19.30	Professional		$16.41	$19.30	$19.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.06 / $147.06 / $147.06	Facility		$147.06	$147.06	$147.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $105.00 / $155.00	Facility		$99.00	$105.00	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $49.08	Facility		$23.15	$23.15	$49.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $65.70	Facility		$23.15	$23.15	$65.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00