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 $31.62 / $41.69 / $63.10	Professional		$31.62	$41.69	$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 / $107.15 / $295.12	Facility		$48.98	$107.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $85.11	Professional		$26.92	$35.48	$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 $38.02 / $50.12 / $93.33	Facility		$38.02	$50.12	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $66.07	Professional		$30.20	$44.67	$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 $38.02 / $54.95 / $147.91	Facility		$38.02	$54.95	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $85.11	Professional		$28.84	$35.48	$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 / $43.65	Professional		$21.38	$29.51	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $50.12	Professional		$19.50	$19.50	$50.12