Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $26.57 / $57.84	Facility		$14.89	$26.57	$57.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.38 / $20.59	Professional		$16.22	$16.38	$20.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $129.06 / $277.58	Facility		$37.81	$129.06	$277.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Professional		$7.21	$7.21	$7.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Facility		$12.47	$12.47	$12.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $16.22	Facility		$15.30	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $49.11	Professional		$16.22	$16.22	$49.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $141.51 / $141.51	Facility		$121.61	$141.51	$141.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $17.03 / $69.20	Facility		$14.46	$17.03	$69.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.54 / $57.86	Professional		$14.46	$16.54	$57.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.38 / $58.06	Facility		$16.22	$16.38	$58.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $16.22 / $16.64	Professional		$10.54	$16.22	$16.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.00 / $17.29	Professional		$14.46	$16.00	$17.29