Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $38.17 / $51.84	Professional		$27.93	$38.17	$51.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $197.75 / $221.86	Facility		$59.48	$197.75	$221.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.54 / $4.54	Professional		$4.09	$4.54	$4.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $68.19	Facility		$30.20	$30.20	$68.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $65.08	Facility		$44.42	$44.42	$65.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $58.30	Professional		$37.76	$44.42	$58.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.79 / $317.39 / $317.54	Facility		$159.79	$317.39	$317.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $46.82 / $68.19	Facility		$21.66	$46.82	$68.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $51.16 / $66.84	Professional		$6.69	$51.16	$66.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $44.42 / $68.19	Facility		$21.66	$44.42	$68.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $52.54	Professional		$37.76	$44.42	$52.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $32.96 / $48.13	Professional		$24.10	$32.96	$48.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $50.20 / $50.20	Professional		$45.27	$50.20	$50.20