Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $31.92 / $69.48	Facility		$19.52	$31.92	$69.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.72 / $28.13	Professional		$19.52	$19.72	$28.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $11.64 / $23.09	Facility		$4.59	$11.64	$23.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $20.87 / $20.87	Professional		$20.87	$20.87	$20.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $263.31 / $263.31 / $263.31	Facility		$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $19.52 / $19.52	Facility		$18.42	$19.52	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $27.91 / $29.03	Facility		$4.98	$27.91	$29.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $19.52 / $35.17	Professional		$13.03	$19.52	$35.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $19.52 / $28.20	Facility		$12.12	$19.52	$28.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.52 / $31.44	Professional		$18.34	$19.52	$31.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $26.35	Professional		$17.37	$17.37	$26.35