Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Facility		$93.33	$93.33	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $177.83	Professional		$77.62	$104.71	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $218.78 / $218.78	Facility		$79.43	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $1,584.89	Professional		$1,096.48	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $263.03	Facility		$91.20	$169.82	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $186.21	Professional		$79.43	$104.71	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $112.20	Professional		$109.65	$109.65	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $269.15	Facility		$91.20	$158.49	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $123.03 / $204.17	Facility		$66.07	$123.03	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $134.90	Professional		$72.44	$109.65	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78