Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $288.40	Facility		$41.69	$104.71	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $70.79	Professional		$35.48	$44.67	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $204.17 / $354.81	Facility		$72.44	$204.17	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $30.90 / $44.67	Professional		$5.01	$30.90	$44.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Facility		$54.95	$54.95	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $112.20 / $275.42	Facility		$50.12	$112.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $85.11	Professional		$25.70	$31.62	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $104.71	Facility		$40.74	$56.23	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $72.44	Professional		$33.11	$50.12	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $46.77	Professional		$41.69	$46.77	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $158.49	Facility		$40.74	$56.23	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $83.18	Professional		$25.70	$31.62	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $37.15 / $56.23	Facility		$19.95	$37.15	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $47.86	Professional		$23.44	$33.11	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $56.23	Professional		$21.88	$21.88	$56.23