Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $141.25	Facility		$21.88	$56.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $38.90	Professional		$15.85	$23.99	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $89.13 / $162.18	Facility		$37.15	$89.13	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.98 / $40.74	Professional		$5.01	$16.98	$40.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Facility		$30.20	$30.20	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $56.23 / $134.90	Facility		$23.44	$56.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $47.86	Professional		$13.49	$20.42	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $223.87	Professional		$208.93	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $57.54	Facility		$22.91	$32.36	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $23.99 / $36.31	Professional		$7.94	$23.99	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Professional		$25.12	$25.12	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.15 / $89.13	Facility		$22.39	$37.15	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $47.86	Professional		$13.18	$21.38	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $30.20	Facility		$10.72	$12.59	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $21.38	Professional		$11.48	$12.59	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.12 / $30.20	Professional		$11.75	$25.12	$30.20