Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $154.88	Facility		$21.88	$56.23	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $173.78	Facility		$38.90	$100.00	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.60 / $23.99	Professional		$5.01	$16.60	$23.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Facility		$30.20	$30.20	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $45.71	Professional		$34.67	$37.15	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $302.00	Facility		$190.55	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $56.23	Facility		$22.91	$30.20	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $36.31	Professional		$18.20	$26.92	$36.31
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 $22.39 / $30.20 / $41.69	Facility		$22.39	$30.20	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $41.69	Professional		$26.92	$36.31	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.20 / $30.20	Facility		$10.96	$18.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $38.90	Professional		$12.59	$16.22	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $30.20	Professional		$11.75	$11.75	$30.20