Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $51.29	Facility		$12.02	$21.38	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.60	Professional		$12.02	$12.02	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.18 / $54.95	Facility		$11.48	$28.18	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.59 / $12.59	Facility		$12.02	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.80 / $30.90	Facility		$12.59	$13.80	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.02 / $18.20	Professional		$11.75	$12.02	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $39.81	Facility		$12.59	$18.20	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $13.80	Professional		$12.59	$12.59	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59