Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $102.33	Facility		$15.85	$40.74	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $23.99	Professional		$10.00	$16.22	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $114.82	Facility		$25.70	$63.10	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.02 / $17.38	Professional		$5.01	$12.02	$17.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.88 / $21.88	Facility		$13.80	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $93.33	Facility		$14.13	$36.31	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $33.11	Professional		$7.94	$13.80	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $40.74	Facility		$10.96	$21.88	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $22.91	Professional		$12.88	$16.98	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $33.11	Professional		$16.22	$18.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $60.26	Facility		$10.96	$21.88	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.79 / $26.92	Professional		$7.94	$14.79	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.12 / $21.88	Facility		$7.76	$9.12	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.12 / $16.60	Professional		$6.92	$9.12	$16.60