Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $158.49	Facility		$21.88	$54.95	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $36.31	Professional		$18.62	$23.99	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $100.00 / $177.83	Facility		$39.81	$100.00	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.22 / $28.18	Professional		$5.01	$16.22	$28.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $33.88	Facility		$29.51	$29.51	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $158.49	Facility		$28.84	$64.57	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $50.12	Professional		$15.85	$21.38	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $58.88	Facility		$15.85	$29.51	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $38.90	Professional		$16.98	$25.70	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $25.12	Professional		$22.39	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $87.10	Facility		$16.60	$29.51	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $50.12	Professional		$16.60	$21.88	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $17.78 / $29.51	Facility		$10.72	$17.78	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $25.70	Professional		$12.59	$17.38	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $29.51	Professional		$11.48	$11.48	$29.51