Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $54.95 / $181.97	Facility		$24.55	$54.95	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $42.66	Professional		$15.85	$28.84	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $199.53	Facility		$41.69	$107.15	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $21.38 / $38.90	Professional		$5.01	$21.38	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.90 / $38.90	Facility		$16.22	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $63.10 / $165.96	Facility		$13.18	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.78 / $56.23	Professional		$8.51	$17.78	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $141.25	Facility		$28.18	$38.90	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $38.90	Professional		$19.50	$30.90	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $32.36	Professional		$28.84	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.90 / $95.50	Facility		$22.91	$38.90	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $18.20 / $46.77	Professional		$8.51	$18.20	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.80 / $38.90	Facility		$9.77	$13.80	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $22.91	Professional		$8.13	$16.22	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $38.90	Professional		$15.14	$15.14	$38.90