Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.85 / $18.20	Facility		$12.88	$15.85	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $21.88	Professional		$10.96	$15.85	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $70.79	Facility		$19.95	$30.90	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
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 $15.49 / $15.49 / $15.85	Facility		$15.49	$15.49	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.18	Professional		$10.47	$13.18	$13.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $194.98	Professional		$165.96	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.88 / $33.88	Facility		$12.59	$21.88	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $22.39	Professional		$12.02	$16.98	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.50	Professional		$16.98	$16.98	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $37.15	Facility		$12.59	$20.89	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $15.49	Professional		$10.72	$13.18	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $10.23 / $16.22	Facility		$7.41	$10.23	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $15.85	Professional		$9.12	$12.02	$15.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30