Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $23.99	Facility		$16.98	$21.88	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $30.20	Professional		$14.45	$21.88	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $21.88	Facility		$18.20	$18.20	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $79.43	Facility		$35.48	$35.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $20.89	Professional		$17.38	$17.38	$20.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $257.04	Professional		$169.82	$257.04	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $46.77	Facility		$18.20	$29.51	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $33.11	Professional		$16.98	$21.88	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $81.28	Professional		$23.44	$23.44	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $50.12	Facility		$17.38	$28.18	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $25.70	Professional		$17.38	$17.38	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.49 / $16.22	Facility		$9.33	$13.49	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $20.89	Professional		$12.02	$15.85	$20.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48