Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $34.67	Professional		$30.20	$33.88	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
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 Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $72.44	Facility		$33.11	$34.67	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $33.88	Professional		$32.36	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $47.86	Professional		$41.69	$41.69	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $72.44	Facility		$33.11	$34.67	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36