Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.90 / $112.20	Facility		$16.22	$30.90	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $28.84	Professional		$18.20	$21.38	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $34.67	Professional		$18.20	$22.91	$34.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $37.15	Professional		$19.50	$25.70	$37.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $177.83	Professional		$144.54	$177.83	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $24.55 / $36.31	Facility		$18.62	$24.55	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $37.15	Professional		$18.20	$25.70	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $33.88	Facility		$18.20	$24.55	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $39.81	Professional		$19.50	$26.92	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $32.36	Professional		$16.60	$22.39	$32.36