Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $53.70	Facility		$34.67	$47.86	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $58.88	Professional		$34.67	$46.77	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $234.42	Facility		$67.61	$104.71	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
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 Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $616.60	Professional		$398.11	$616.60	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $138.04	Facility		$41.69	$83.18	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $60.26	Professional		$36.31	$46.77	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $70.79	Professional		$61.66	$61.66	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $134.90	Facility		$42.66	$75.86	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $51.29	Professional		$30.20	$39.81	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $70.79	Professional		$52.48	$70.79	$70.79