Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.95 / $54.95	Facility		$7.94	$19.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $12.02	Professional		$6.03	$7.94	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $38.90 / $67.61	Facility		$13.18	$38.90	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $9.55	Professional		$5.01	$5.89	$9.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.44 / $56.23	Facility		$10.47	$23.44	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $28.18	Professional		$5.62	$7.76	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.72 / $19.95	Facility		$8.13	$10.72	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.55 / $13.80	Professional		$6.03	$9.55	$13.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $33.11	Professional		$7.94	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.72 / $38.02	Facility		$8.51	$10.72	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.13 / $19.95	Professional		$5.62	$8.13	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $7.08 / $10.72	Facility		$3.80	$7.08	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $11.48	Professional		$4.47	$6.31	$11.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $10.72	Professional		$4.17	$4.17	$10.72