Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $27.82 / $30.05	Facility		$27.82	$27.82	$30.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $29.57 / $55.64	Professional		$22.68	$29.57	$55.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $37.84	Professional		$30.24	$30.24	$37.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.54 / $63.54 / $63.54	Facility		$63.54	$63.54	$63.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $29.78	Professional		$21.74	$21.74	$29.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.93 / $253.42 / $301.82	Facility		$136.93	$253.42	$301.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.68 / $443.07 / $443.07	Professional		$432.68	$443.07	$443.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $44.28 / $63.54	Facility		$15.35	$44.28	$63.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $56.79 / $63.54	Professional		$15.52	$56.79	$63.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $42.46 / $63.54	Facility		$15.35	$42.46	$63.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $31.74	Professional		$21.74	$21.74	$31.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $29.31 / $36.64	Professional		$19.80	$29.31	$36.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.86 / $63.54	Professional		$28.84	$28.86	$63.54