Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $30.90	Professional		$16.22	$23.99	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $134.90	Facility		$89.13	$123.03	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.57 / $2.57	Professional		$2.24	$2.57	$2.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $43.65	Facility		$38.02	$38.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $33.88	Professional		$21.88	$25.70	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.12 / $43.65	Facility		$13.80	$25.12	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $37.15	Professional		$19.05	$28.84	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.70 / $43.65	Facility		$13.80	$25.70	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $33.11	Professional		$21.88	$21.88	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.80 / $23.99	Facility		$1.78	$13.80	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.90	Professional		$15.14	$20.89	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62