Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $92.36 / $258.81	Facility		$39.85	$92.36	$258.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $39.01 / $49.55	Professional		$29.52	$39.01	$49.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $52.71 / $52.71	Professional		$44.80	$52.71	$52.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $52.71 / $52.71	Facility		$52.71	$52.71	$52.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $105.35 / $235.53	Facility		$33.97	$105.35	$235.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $64.43 / $80.54	Professional		$27.94	$64.43	$80.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $250.37 / $250.37	Facility		$84.34	$250.37	$250.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $52.71 / $57.98	Facility		$32.68	$52.71	$57.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $52.71 / $52.71	Professional		$47.44	$52.71	$52.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $52.71 / $68.52	Facility		$33.21	$52.71	$68.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $50.07 / $55.35	Professional		$27.94	$50.07	$55.35
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $31.63	Professional		$22.14	$22.14	$31.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $9.22 / $52.71	Professional		$4.97	$9.22	$52.71