Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $38.02	Facility		$26.92	$34.67	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $51.29	Professional		$22.91	$34.67	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $147.91	Facility		$42.66	$60.26	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $28.84	Professional		$25.70	$25.70	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Facility		$38.02	$38.02	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $38.02	Facility		$34.67	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $38.02	Professional		$32.36	$32.36	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $407.38	Professional		$331.13	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $81.28	Facility		$29.51	$50.12	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $54.95	Professional		$22.91	$34.67	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Professional		$30.20	$30.20	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $87.10	Facility		$30.20	$47.86	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Professional		$32.36	$32.36	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $39.81	Facility		$18.20	$26.92	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $38.90	Professional		$22.39	$29.51	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95