Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $33.97 / $45.78	Professional		$24.31	$33.97	$45.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $176.13 / $198.28	Facility		$52.42	$176.13	$198.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.01 / $4.01	Professional		$3.61	$4.01	$4.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $61.53	Facility		$57.45	$57.45	$61.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $56.63	Facility		$37.64	$37.64	$56.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $49.41	Professional		$31.99	$37.64	$49.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $270.08 / $272.89	Facility		$100.00	$270.08	$272.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $45.12 / $61.53	Facility		$19.55	$45.12	$61.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $43.09 / $57.45	Professional		$5.65	$43.09	$57.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $38.53 / $61.53	Facility		$19.55	$38.53	$61.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $45.15	Professional		$31.99	$37.64	$45.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $29.74 / $43.44	Professional		$23.84	$29.74	$43.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $45.31 / $45.31	Professional		$39.27	$45.31	$45.31