Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $288.40	Facility		$41.69	$85.11	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.02 / $117.49	Facility		$33.11	$38.02	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $74.13	Professional		$28.84	$41.69	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $131.83	Facility		$41.69	$51.29	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.90	Professional		$30.20	$30.20	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $61.66	Facility		$41.69	$51.29	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $79.43	Professional		$28.84	$41.69	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $51.29	Facility		$18.62	$21.38	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $42.66	Professional		$16.60	$17.78	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $51.29	Professional		$19.95	$19.95	$51.29