Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Facility		$33.88	$33.88	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $67.61	Professional		$33.88	$40.74	$67.61
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 $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $588.84	Professional		$512.86	$588.84	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $109.65	Facility		$36.31	$67.61	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $75.86	Professional		$33.88	$42.66	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $47.86	Professional		$41.69	$41.69	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $114.82	Facility		$36.31	$63.10	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $89.13	Facility		$23.99	$54.95	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $58.88	Professional		$32.36	$47.86	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43