Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $97.72	Facility		$14.13	$35.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $21.88	Professional		$10.96	$15.14	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $112.20	Facility		$25.70	$64.57	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.47 / $18.20	Professional		$5.01	$10.47	$18.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Facility		$19.05	$19.05	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $41.69 / $100.00	Facility		$18.62	$41.69	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $31.62	Professional		$10.00	$13.80	$31.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.05 / $35.48	Facility		$10.00	$19.05	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $24.55	Professional		$10.96	$16.98	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $15.85	Professional		$14.13	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $19.05 / $57.54	Facility		$10.72	$19.05	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $31.62	Professional		$10.72	$13.80	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $11.48 / $19.05	Facility		$6.76	$11.48	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $16.22	Professional		$7.94	$11.22	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $19.05	Professional		$7.41	$7.41	$19.05