Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $66.47 / $88.30	Professional		$49.88	$66.47	$88.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $371.25 / $428.16	Facility		$110.49	$371.25	$428.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $8.39 / $8.39	Professional		$7.55	$8.39	$8.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $108.22 / $132.88	Facility		$108.22	$108.22	$132.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $114.98	Facility		$73.97	$73.97	$114.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $97.09	Professional		$62.87	$73.97	$97.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $530.95 / $530.95	Facility		$170.18	$530.95	$530.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $83.11 / $132.88	Facility		$36.38	$83.11	$132.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $91.99 / $109.34	Professional		$12.24	$91.99	$109.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $73.97 / $132.88	Facility		$36.38	$73.97	$132.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $97.09	Professional		$62.87	$73.97	$97.09
United Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $58.85 / $80.84	Professional		$46.17	$58.85	$80.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $90.29 / $90.29	Professional		$84.16	$90.29	$90.29