Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $85.11	Facility		$12.02	$28.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.95	Professional		$10.96	$14.13	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $83.18	Facility		$12.02	$17.78	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $22.91 / $28.18	Professional		$9.77	$22.91	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $37.15	Facility		$12.30	$18.62	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $21.88	Professional		$10.96	$15.14	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.62 / $42.66	Facility		$11.48	$18.62	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $34.67	Professional		$9.77	$17.78	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.71 / $18.62	Facility		$6.76	$8.71	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $18.62	Professional		$7.76	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $18.62	Professional		$7.08	$7.08	$18.62