Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $61.66 / $162.18	Facility		$25.12	$61.66	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $38.02	Professional		$19.05	$26.92	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $107.15 / $186.21	Facility		$40.74	$107.15	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.62 / $33.88	Professional		$5.01	$18.62	$33.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $33.88	Facility		$28.84	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $144.54	Facility		$27.54	$57.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $51.29	Professional		$15.49	$17.78	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.20 / $63.10	Facility		$23.44	$30.20	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $38.02	Professional		$19.95	$26.92	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $28.18	Professional		$25.12	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.88 / $100.00	Facility		$24.55	$33.88	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $48.98	Professional		$15.85	$18.20	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.98 / $33.88	Facility		$12.30	$16.98	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $26.30	Professional		$14.13	$14.45	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $33.88	Professional		$13.18	$13.18	$33.88