Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $28.18	Facility		$26.92	$26.92	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $45.71	Professional		$25.70	$30.20	$45.71
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 $29.51 / $29.51 / $36.31	Professional		$29.51	$29.51	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Facility		$63.10	$63.10	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $446.68	Professional		$309.03	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $48.98 / $79.43	Facility		$26.30	$48.98	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $60.26	Professional		$26.92	$30.20	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $31.62	Professional		$28.84	$30.90	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $81.28	Facility		$26.92	$46.77	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $63.10	Facility		$17.38	$27.54	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $38.90	Professional		$22.91	$33.11	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10