Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $44.67	Facility		$41.69	$41.69	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $83.18	Professional		$40.74	$52.48	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Facility		$79.43	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $724.44	Professional		$660.69	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $131.83	Facility		$41.69	$85.11	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $125.89	Professional		$40.74	$54.95	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Professional		$52.48	$52.48	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $79.43 / $138.04	Facility		$42.66	$79.43	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $112.20	Facility		$36.31	$67.61	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $74.13	Professional		$39.81	$58.88	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72