Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $91.32 / $287.93	Facility		$42.28	$91.32	$287.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $73.98 / $216.47	Facility		$42.28	$73.98	$216.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $29.21 / $96.94	Facility		$27.82	$29.21	$96.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $42.29 / $60.71	Professional		$28.71	$42.29	$60.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $200.83 / $200.83	Facility		$67.65	$200.83	$200.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $46.51	Facility		$42.28	$42.28	$46.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $40.04 / $42.28	Professional		$35.94	$40.04	$42.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $42.28 / $50.74	Facility		$41.01	$42.28	$50.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $42.28 / $44.39	Professional		$32.56	$42.28	$44.39
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $25.37	Professional		$16.72	$17.73	$25.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.91 / $42.28	Professional		$16.48	$16.91	$42.28