Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $63.10 / $173.78	Facility		$25.12	$63.10	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $39.81	Professional		$21.38	$27.54	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $109.65 / $199.53	Facility		$47.86	$109.65	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.62 / $23.99	Professional		$5.01	$18.62	$23.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $38.90	Facility		$33.88	$33.88	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $69.18 / $158.49	Facility		$30.90	$69.18	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $57.54	Professional		$17.78	$23.99	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $63.10	Facility		$17.78	$33.88	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $44.67	Professional		$20.89	$30.90	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $28.18	Professional		$25.70	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $100.00	Facility		$17.78	$33.88	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $57.54	Professional		$19.05	$24.55	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $33.88	Facility		$12.30	$20.42	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $28.18	Professional		$14.13	$19.95	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $33.88	Professional		$13.18	$13.18	$33.88