Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $48.98 / $134.90	Facility		$19.05	$48.98	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $39.81	Professional		$15.85	$20.89	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $154.88	Facility		$34.67	$89.13	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.45 / $35.48	Professional		$5.01	$14.45	$35.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $79.43	Facility		$26.30	$26.30	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $56.23 / $131.83	Facility		$28.84	$56.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $57.54	Professional		$14.79	$20.42	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $112.20	Facility		$19.95	$30.90	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $20.89 / $32.36	Professional		$7.94	$20.89	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.30	Professional		$21.88	$21.88	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $138.04	Facility		$20.42	$39.81	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $54.95	Professional		$14.79	$23.44	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.96 / $26.30	Facility		$9.33	$10.96	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $22.39	Professional		$10.96	$15.14	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.88 / $26.30	Professional		$10.23	$21.88	$26.30