Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $50.12 / $128.82	Facility		$19.05	$50.12	$128.82
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 $30.90 / $89.13 / $141.25	Facility		$30.90	$89.13	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.79 / $26.30	Professional		$5.01	$14.79	$26.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $26.92	Facility		$20.89	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $48.98 / $114.82	Facility		$16.98	$48.98	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $40.74	Professional		$10.96	$13.80	$40.74
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 $11.48 / $26.92 / $53.70	Facility		$11.48	$26.92	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $28.84	Professional		$15.85	$22.91	$28.84
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 $12.30 / $26.92 / $75.86	Facility		$12.30	$26.92	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $35.48	Professional		$10.96	$13.80	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.30 / $26.92	Facility		$9.77	$12.30	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.48 / $16.22	Professional		$10.23	$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