Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $102.33	Facility		$15.85	$40.74	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $23.99	Professional		$12.88	$16.98	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $75.86 / $123.03	Facility		$25.70	$75.86	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.02 / $17.38	Professional		$5.01	$12.02	$17.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $95.50	Facility		$17.78	$39.81	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $33.11	Professional		$10.47	$17.78	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $40.74	Facility		$10.96	$21.88	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $22.91	Professional		$12.88	$18.62	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $33.11	Professional		$16.22	$18.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $61.66	Facility		$10.96	$21.88	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $32.36	Professional		$10.96	$17.78	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.02 / $21.88	Facility		$7.76	$12.02	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.55 / $13.49	Professional		$9.12	$9.55	$13.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88