Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $93.33 / $263.03	Facility		$38.02	$93.33	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $63.10	Professional		$30.20	$40.74	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $27.54 / $38.02	Professional		$5.01	$27.54	$38.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Facility		$50.12	$50.12	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $102.33 / $269.15	Facility		$48.98	$102.33	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $85.11	Professional		$26.92	$31.62	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $93.33	Facility		$37.15	$50.12	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $66.07	Professional		$30.20	$43.65	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $42.66	Professional		$38.02	$42.66	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $144.54	Facility		$37.15	$50.12	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $85.11	Professional		$27.54	$32.36	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.20 / $50.12	Facility		$18.20	$30.20	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $42.66	Professional		$21.38	$29.51	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $50.12	Professional		$19.50	$19.50	$50.12