Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $45.97 / $133.21	Facility		$18.42	$45.97	$133.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $20.71 / $42.16	Professional		$14.62	$20.71	$42.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $79.45 / $138.71	Facility		$30.22	$79.45	$138.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.92 / $21.69	Professional		$5.00	$12.92	$21.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $24.37 / $28.08	Facility		$24.37	$24.37	$28.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $53.54 / $122.97	Facility		$17.03	$53.54	$122.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $17.87 / $41.03	Professional		$12.92	$17.87	$41.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $144.75 / $144.75	Facility		$113.84	$144.75	$144.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.37 / $31.68	Facility		$19.50	$24.37	$31.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $24.37 / $31.76	Professional		$22.93	$24.37	$31.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.37 / $60.74	Facility		$19.50	$24.37	$60.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $18.76 / $35.21	Professional		$12.92	$18.76	$35.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.94 / $20.16	Professional		$10.24	$13.94	$20.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $12.04 / $24.37	Professional		$9.50	$12.04	$24.37