Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $67.56 / $189.38	Facility		$27.00	$67.56	$189.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $25.46 / $42.43	Professional		$21.60	$25.46	$42.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $119.57 / $202.49	Facility		$42.04	$119.57	$202.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.44 / $34.71	Professional		$5.00	$20.44	$34.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $62.68 / $172.12	Facility		$24.41	$62.68	$172.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.10 / $58.85	Professional		$18.88	$29.10	$58.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $183.21 / $183.21	Facility		$61.71	$183.21	$183.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $38.57 / $42.43	Facility		$21.60	$38.57	$42.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $38.57 / $38.57	Professional		$32.78	$38.57	$38.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $38.57 / $55.03	Facility		$20.21	$38.57	$55.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.70 / $49.11	Professional		$18.88	$29.70	$49.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $16.20 / $38.57	Facility		$13.89	$16.20	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $23.14	Professional		$16.20	$16.20	$23.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.43 / $38.57	Professional		$15.04	$15.43	$38.57