Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $89.13 / $281.84	Facility		$40.74	$89.13	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $67.61	Professional		$37.15	$48.98	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $112.20 / $275.42	Facility		$40.74	$112.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $95.50	Professional		$33.11	$70.79	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $114.82	Facility		$45.71	$61.66	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $74.13	Professional		$38.02	$52.48	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $61.66 / $151.36	Facility		$40.74	$61.66	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $79.43	Professional		$33.11	$58.88	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $61.66	Facility		$22.39	$29.51	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $37.15	Professional		$26.30	$26.30	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $61.66	Professional		$23.99	$23.99	$61.66