Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $72.44 / $288.40	Facility		$30.90	$72.44	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $54.95	Professional		$41.69	$41.69	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $218.78	Facility		$41.69	$104.71	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $40.74	Professional		$25.12	$28.18	$40.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Facility		$41.69	$41.69	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $199.53	Facility		$28.84	$33.11	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $74.13	Professional		$28.84	$51.29	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $131.83	Facility		$41.69	$51.29	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $43.65	Professional		$38.90	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $61.66	Facility		$41.69	$51.29	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $67.61	Professional		$28.84	$51.29	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $51.29	Facility		$18.62	$21.38	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $42.66	Professional		$16.60	$17.78	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $51.29	Professional		$5.89	$5.89	$51.29