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 $26.30 / $33.88 / $56.23	Professional		$26.30	$33.88	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$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 $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $616.60	Professional		$389.05	$616.60	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $83.18	Facility		$28.18	$56.23	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $75.86	Professional		$28.18	$36.31	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $44.67	Professional		$38.90	$38.90	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $52.48 / $93.33	Facility		$28.18	$52.48	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $70.79	Facility		$22.91	$42.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $46.77	Professional		$25.70	$38.02	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07