Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $31.33 / $43.52	Professional		$22.88	$31.33	$43.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.36 / $165.85 / $186.88	Facility		$49.36	$165.85	$186.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.50 / $3.50	Professional		$3.15	$3.50	$3.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $54.05 / $58.00	Facility		$54.05	$54.05	$58.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $48.09	Facility		$25.20	$25.20	$48.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $47.67	Professional		$21.42	$25.20	$47.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $258.33 / $258.33	Facility		$176.40	$258.33	$258.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $42.47 / $58.00	Facility		$18.42	$42.47	$58.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $41.26 / $54.05	Professional		$5.17	$41.26	$54.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $36.11 / $58.00	Facility		$18.42	$36.11	$58.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $42.48	Professional		$21.42	$25.20	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $28.18 / $40.94	Professional		$20.50	$28.18	$40.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $42.69 / $42.69	Professional		$38.49	$42.69	$42.69