Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $30.20	Facility		$26.92	$26.92	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $52.48	Professional		$19.95	$28.18	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Professional		$21.88	$21.88	$29.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $45.71 / $93.33	Facility		$15.49	$45.71	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $57.54	Professional		$19.95	$28.18	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $40.74	Professional		$35.48	$35.48	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $79.43	Facility		$23.99	$47.86	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Professional		$21.88	$21.88	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $54.95	Facility		$17.78	$35.48	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $36.31	Professional		$19.95	$29.51	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57