Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $69.18	Facility		$10.00	$25.12	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $15.85	Professional		$7.94	$10.00	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $42.66 / $77.62	Facility		$16.60	$42.66	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $13.18	Professional		$5.01	$7.41	$13.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $13.49	Facility		$10.00	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.84 / $70.79	Facility		$12.88	$28.84	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $22.39	Professional		$7.08	$9.55	$22.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $25.12	Facility		$10.00	$13.49	$25.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.14	Professional		$7.94	$10.96	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $11.22	Professional		$10.00	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.49 / $39.81	Facility		$10.72	$13.49	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $22.39	Professional		$7.59	$9.77	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.91 / $13.49	Facility		$4.79	$8.91	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $16.98	Professional		$5.62	$7.76	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $13.49	Professional		$5.25	$5.25	$13.49