Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $43.80 / $122.75	Facility		$15.00	$43.80	$122.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.50 / $20.00	Professional		$14.00	$15.50	$20.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $54.93 / $111.72	Facility		$16.64	$54.93	$111.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $30.21 / $36.19	Professional		$12.00	$30.21	$36.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $118.75 / $118.75	Facility		$43.50	$118.75	$118.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $187.50	Professional		$125.00	$125.00	$187.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $25.00 / $34.83	Facility		$15.00	$25.00	$34.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $25.00 / $31.25	Professional		$23.75	$25.00	$31.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.81 / $89.74	Facility		$16.98	$26.81	$89.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $27.50 / $35.00	Professional		$19.25	$27.50	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $16.00	Professional		$10.50	$10.50	$16.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $25.00 / $28.92	Professional		$12.95	$25.00	$28.92