Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $41.69	Facility		$40.74	$40.74	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $69.18	Professional		$38.02	$44.67	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $93.33	Facility		$79.43	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $57.54	Professional		$41.69	$41.69	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $676.08	Professional		$467.74	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $117.49	Facility		$38.02	$75.86	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $89.13	Professional		$40.74	$44.67	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $46.77	Professional		$40.74	$45.71	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $69.18 / $123.03	Facility		$38.02	$69.18	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $57.54	Professional		$41.69	$41.69	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $40.74 / $95.50	Facility		$25.70	$40.74	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $58.88	Professional		$33.88	$48.98	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33