Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $67.36 / $209.23	Facility		$30.78	$67.36	$209.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $32.58 / $52.84	Professional		$24.66	$32.58	$52.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $125.93 / $244.81	Facility		$48.43	$125.93	$244.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $54.16 / $61.64	Professional		$5.50	$54.16	$61.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $44.03	Facility		$11.53	$11.53	$44.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $70.69 / $177.16	Facility		$21.58	$70.69	$177.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $22.45 / $64.00	Professional		$12.08	$22.45	$64.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $209.14 / $209.14	Facility		$70.45	$209.14	$209.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $44.03 / $47.22	Facility		$22.71	$44.03	$47.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $44.03 / $44.03	Professional		$25.05	$44.03	$44.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $44.03 / $91.24	Facility		$22.02	$44.03	$91.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $20.30 / $44.03	Professional		$11.57	$20.30	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $18.48 / $26.42	Professional		$10.40	$18.48	$26.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.61 / $44.03	Professional		$17.17	$17.61	$44.03