Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $35.48	Facility		$12.88	$12.88	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $18.20	Professional		$10.96	$12.88	$18.20
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 $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Facility		$30.20	$30.20	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $218.78	Professional		$190.55	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $41.69	Facility		$12.02	$25.70	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $22.91	Professional		$12.02	$12.88	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.18	Professional		$24.55	$24.55	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $48.98	Facility		$12.02	$23.99	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.13 / $41.69	Facility		$9.33	$14.13	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $22.91	Professional		$11.75	$19.50	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $30.20	Professional		$25.12	$30.20	$30.20