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 / $48.98	Professional		$41.69	$41.69	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $31.62 / $97.72	Facility		$27.54	$31.62	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $60.26	Professional		$28.84	$42.66	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $131.83	Facility		$42.66	$60.26	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $42.66	Professional		$38.02	$41.69	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Professional		$30.20	$30.20	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $42.66 / $54.95	Facility		$38.02	$42.66	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $79.43	Professional		$28.84	$42.66	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $42.66	Facility		$15.14	$18.62	$42.66
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 $16.60 / $16.60 / $42.66	Professional		$16.60	$16.60	$42.66