Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $58.88 / $147.91	Facility		$22.91	$58.88	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $39.81	Professional		$16.98	$23.99	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $93.33 / $169.82	Facility		$38.90	$93.33	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.98 / $42.66	Professional		$5.01	$16.98	$42.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Facility		$30.90	$30.90	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $138.04	Facility		$23.44	$58.88	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $48.98	Professional		$13.49	$20.42	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $151.36	Facility		$147.91	$147.91	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $234.42	Professional		$199.53	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $58.88	Facility		$23.99	$32.36	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $23.99 / $37.15	Professional		$7.94	$23.99	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $31.62	Professional		$26.30	$26.30	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $91.20	Facility		$23.44	$38.02	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.39 / $48.98	Professional		$13.18	$22.39	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.18 / $30.90	Facility		$11.22	$13.18	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $22.39	Professional		$11.48	$13.18	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.30 / $30.90	Professional		$12.30	$26.30	$30.90