Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $107.15 / $346.74	Facility		$19.95	$107.15	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $40.74	Professional		$16.98	$22.91	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $165.96	Facility		$33.88	$85.11	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $25.70	Professional		$22.91	$25.70	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Facility		$22.91	$22.91	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Facility		$54.95	$64.57	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $47.86	Professional		$19.50	$26.30	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $257.04	Professional		$199.53	$257.04	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $63.10	Facility		$19.95	$32.36	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $57.54	Professional		$18.20	$25.70	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $32.36 / $33.88	Professional		$9.12	$32.36	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.90 / $57.54	Facility		$19.50	$30.90	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $48.98	Professional		$19.95	$26.30	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $33.88	Facility		$25.12	$25.12	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $35.48	Professional		$23.99	$28.84	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $30.90	Professional		$30.20	$30.90	$30.90