Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $57.50 / $166.82	Facility		$25.28	$57.50	$166.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $24.58 / $42.13	Professional		$18.53	$24.58	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $107.24 / $196.97	Facility		$35.11	$107.24	$196.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.61 / $23.98	Professional		$5.00	$18.61	$23.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $35.11	Facility		$16.60	$16.60	$35.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $57.96 / $149.09	Facility		$15.83	$57.96	$149.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $17.85 / $51.00	Professional		$8.61	$17.85	$51.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $166.77 / $166.77	Facility		$80.00	$166.77	$166.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $35.11 / $38.15	Facility		$25.28	$35.11	$38.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $35.11	Professional		$29.84	$35.11	$35.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $35.11 / $80.92	Facility		$21.07	$35.11	$80.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $17.85 / $35.11	Professional		$8.61	$17.85	$35.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $12.29 / $19.30	Facility		$9.78	$12.29	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $14.75 / $21.07	Professional		$7.79	$14.75	$21.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $14.04 / $35.11	Professional		$13.69	$14.04	$35.11