Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $25.12	Professional		$12.59	$19.95	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $109.65	Facility		$69.18	$97.72	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.82 / $1.82	Professional		$1.58	$1.82	$1.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $29.51	Professional		$19.50	$22.91	$29.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.38 / $34.67	Facility		$10.96	$21.38	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $32.36	Professional		$15.85	$25.12	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $22.91 / $34.67	Facility		$10.96	$22.91	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $27.54	Professional		$19.50	$19.50	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $11.22 / $20.89	Facility		$1.32	$11.22	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $23.99	Professional		$12.59	$16.98	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54