Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $23.11 / $31.21	Professional		$16.73	$23.11	$31.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $122.57 / $141.36	Facility		$36.47	$122.57	$141.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $37.84 / $43.87	Facility		$37.84	$37.84	$43.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $38.11	Facility		$24.94	$24.94	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $32.72	Professional		$21.20	$24.94	$32.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $177.61 / $177.61	Facility		$76.81	$177.61	$177.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $30.37 / $43.87	Facility		$13.94	$30.37	$43.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $30.26 / $39.83	Professional		$3.72	$30.26	$39.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $25.93 / $43.87	Facility		$13.94	$25.93	$43.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $31.21	Professional		$21.20	$24.94	$31.21
United Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $20.13 / $30.97	Professional		$15.44	$20.13	$30.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $30.20 / $30.20	Professional		$28.00	$30.20	$30.20