Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $34.59 / $37.36	Facility		$34.59	$34.59	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $37.04 / $69.18	Professional		$31.82	$37.04	$69.18
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 $42.34 / $47.04 / $47.04	Professional		$42.34	$47.04	$47.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.03	Professional		$27.03	$27.03	$37.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $321.47 / $375.25	Facility		$126.07	$321.47	$375.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $408.06 / $444.38	Professional		$398.48	$408.06	$444.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $55.06 / $79.00	Facility		$19.07	$55.06	$79.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $66.81 / $79.00	Professional		$19.30	$66.81	$79.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $52.79 / $79.00	Facility		$19.07	$52.79	$79.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $39.47	Professional		$27.03	$27.03	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $36.44 / $45.24	Professional		$24.64	$36.44	$45.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $36.21 / $79.00	Professional		$35.86	$36.21	$79.00