Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $48.98 / $141.25	Facility		$19.05	$48.98	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $30.20	Professional		$15.85	$20.89	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $87.10 / $147.91	Facility		$32.36	$87.10	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.79 / $26.92	Professional		$5.01	$14.79	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $120.23	Facility		$17.78	$25.70	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $46.77	Professional		$12.30	$21.38	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $117.49	Facility		$13.49	$26.92	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $28.18	Professional		$15.49	$21.88	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $22.91	Professional		$20.42	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $66.07	Facility		$13.49	$26.92	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $44.67	Professional		$12.30	$20.89	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.88 / $26.92	Facility		$9.77	$12.88	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $16.22	Professional		$11.48	$11.48	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $26.92	Professional		$10.47	$10.47	$26.92