Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $96.46 / $220.64	Facility		$55.16	$96.46	$220.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.71 / $66.19	Professional		$55.16	$55.71	$66.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $104.71 / $206.44	Facility		$41.37	$104.71	$206.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $54.04 / $54.04	Professional		$54.04	$54.04	$54.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $55.16	Facility		$52.04	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $55.16	Professional		$54.58	$55.16	$55.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $236.62 / $236.62	Facility		$100.00	$236.62	$236.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $55.16 / $70.06	Facility		$22.02	$55.16	$70.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $55.89 / $77.05	Professional		$54.63	$55.89	$77.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $55.16 / $57.92	Facility		$26.16	$55.16	$57.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $59.85	Professional		$54.58	$55.16	$59.85
United Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $88.42 / $88.42	Facility		$88.42	$88.42	$88.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $55.16	Professional		$22.06	$55.16	$55.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $55.16 / $74.47	Professional		$53.59	$55.16	$74.47