Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $75.86 / $239.88	Facility		$33.88	$75.86	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $57.54	Professional		$30.90	$40.74	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $234.42	Facility		$33.88	$51.29	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $64.57 / $81.28	Professional		$28.18	$64.57	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $102.33	Facility		$34.67	$52.48	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $63.10	Professional		$32.36	$43.65	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $120.23	Facility		$32.36	$52.48	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $79.43	Professional		$28.18	$50.12	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $52.48	Facility		$19.05	$25.12	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $31.62	Professional		$22.39	$22.39	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $52.48	Professional		$9.12	$9.12	$52.48