Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Facility		$15.14	$15.14	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $25.70	Professional		$14.13	$16.98	$25.70
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 $16.98 / $16.98 / $20.89	Professional		$16.98	$16.98	$20.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $79.43	Facility		$36.31	$36.31	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $24.55	Professional		$17.78	$17.78	$24.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $257.04	Professional		$177.83	$257.04	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $28.18 / $52.48	Facility		$10.23	$28.18	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $35.48	Professional		$15.14	$16.98	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $17.78	Professional		$15.49	$17.78	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $46.77	Facility		$15.14	$26.92	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $24.55	Professional		$17.78	$17.78	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.85 / $36.31	Facility		$9.77	$15.85	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $22.39	Professional		$13.18	$19.05	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31