Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.99 / $13.24	Facility		$12.74	$12.99	$13.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.24 / $21.48	Professional		$12.04	$13.24	$21.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $28.53 / $28.53	Facility		$28.53	$28.53	$28.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $15.80	Professional		$11.53	$11.53	$15.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $131.74 / $131.74	Facility		$80.00	$131.74	$131.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $207.53	Professional		$141.22	$141.22	$207.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $19.05 / $28.53	Facility		$8.15	$19.05	$28.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $25.85 / $28.53	Professional		$8.15	$25.85	$28.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $19.05 / $28.53	Facility		$8.15	$19.05	$28.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $16.85	Professional		$11.53	$11.53	$16.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $15.20 / $18.10	Professional		$10.51	$15.20	$18.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.39 / $28.53	Professional		$15.15	$15.39	$28.53