Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $30.20	Facility		$28.18	$28.18	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $53.70	Professional		$25.12	$30.90	$53.70
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 $30.90 / $30.90 / $38.90	Professional		$30.90	$30.90	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Facility		$66.07	$66.07	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $51.29 / $81.28	Facility		$27.54	$51.29	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $74.13	Professional		$25.12	$32.36	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $43.65	Professional		$38.02	$38.02	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $83.18	Facility		$27.54	$48.98	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $66.07	Facility		$21.88	$43.65	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $43.65	Professional		$23.99	$35.48	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07