Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $44.67	Facility		$42.66	$42.66	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $75.86	Professional		$41.69	$51.29	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $57.54	Professional		$46.77	$46.77	$57.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $100.00	Facility		$79.43	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Professional		$53.70	$53.70	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $776.25	Professional		$691.83	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $83.18 / $134.90	Facility		$44.67	$83.18	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $102.33	Professional		$42.66	$52.48	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $63.10	Professional		$54.95	$54.95	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $138.04	Facility		$44.67	$77.62	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Professional		$53.70	$53.70	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $112.20	Facility		$30.20	$48.98	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $69.18	Professional		$40.74	$58.88	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00