Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $32.15 / $109.95	Facility		$21.23	$32.15	$109.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.44 / $26.80	Professional		$21.23	$21.44	$26.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $57.72 / $120.67	Facility		$24.88	$57.72	$120.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $24.88 / $24.88	Professional		$24.88	$24.88	$24.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $297.23 / $297.23 / $297.23	Facility		$297.23	$297.23	$297.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $113.14 / $113.14	Facility		$75.00	$113.14	$113.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.48 / $31.27	Facility		$19.95	$25.48	$31.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $20.17 / $38.43	Professional		$15.92	$20.17	$38.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $28.21 / $31.27	Facility		$21.23	$28.21	$31.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $28.21 / $28.21	Professional		$20.17	$28.21	$28.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $28.66	Professional		$21.23	$21.23	$28.66