Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $78.88 / $117.26	Facility		$47.53	$78.88	$117.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.00 / $66.45	Professional		$47.53	$48.00	$66.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $165.40 / $326.10	Facility		$65.34	$165.40	$326.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,797.32 / $1,797.32 / $1,797.32	Facility		$1,797.32	$1,797.32	$1,797.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $47.52 / $47.52	Facility		$44.83	$47.52	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $237.65 / $240.30	Facility		$99.07	$237.65	$240.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $48.38 / $70.00	Facility		$36.04	$48.38	$70.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $47.53 / $89.23	Professional		$36.29	$47.53	$89.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $47.52 / $68.64	Facility		$39.15	$47.52	$68.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $47.52 / $86.18	Professional		$44.93	$47.52	$86.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $53.23 / $53.23	Professional		$42.78	$53.23	$53.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $49.30 / $64.17	Professional		$48.38	$49.30	$64.17