Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $102.86 / $286.91	Facility		$42.13	$102.86	$286.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $51.43	Professional		$51.43	$51.43	$51.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $51.43 / $51.43	Facility		$51.43	$51.43	$51.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $35.54 / $102.80	Facility		$28.71	$35.54	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $42.13 / $73.88	Professional		$28.71	$42.13	$73.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $244.29 / $244.29	Facility		$82.29	$244.29	$244.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $51.43 / $56.57	Facility		$42.31	$51.43	$56.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $51.43 / $51.43	Professional		$46.29	$51.43	$51.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $35.63 / $128.96	Facility		$28.65	$35.63	$128.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $42.13 / $46.29	Professional		$28.71	$42.13	$46.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $30.86	Professional		$16.72	$17.73	$30.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.57 / $51.43	Professional		$20.05	$20.57	$51.43