Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $28.57 / $38.04	Facility		$17.62	$28.57	$38.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.79 / $23.95	Professional		$17.62	$17.79	$23.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $35.13 / $69.95	Facility		$14.34	$35.13	$69.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $274.89 / $274.89	Facility		$274.89	$274.89	$274.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $17.62 / $17.62	Facility		$16.62	$17.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $264.00 / $264.00	Facility		$75.00	$264.00	$264.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $25.20 / $178.75	Facility		$17.44	$25.20	$178.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $17.62 / $31.66	Professional		$13.08	$17.62	$31.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $17.62 / $25.95	Facility		$16.62	$17.62	$25.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $17.62 / $31.53	Professional		$16.51	$17.62	$31.53
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $17.42 / $23.79	Professional		$17.42	$17.42	$23.79