Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $89.91 / $265.58	Facility		$33.86	$89.91	$265.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $37.97 / $70.45	Professional		$30.79	$37.97	$70.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $158.38 / $276.56	Facility		$63.06	$158.38	$276.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $28.22 / $71.83	Professional		$5.00	$28.22	$71.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $80.00	Facility		$51.31	$51.31	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $112.06 / $227.98	Facility		$41.14	$112.06	$227.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $33.83 / $96.00	Professional		$27.31	$33.83	$96.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $243.72 / $243.72	Facility		$110.11	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $256.55 / $384.83	Professional		$256.55	$256.55	$384.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $51.31 / $82.10	Facility		$32.33	$51.31	$82.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $64.14	Professional		$51.31	$51.31	$64.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $55.77 / $184.46	Facility		$35.92	$55.77	$184.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $48.61 / $90.02	Professional		$27.90	$48.61	$90.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $26.61 / $38.01	Professional		$21.55	$26.61	$38.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $26.58 / $51.31	Professional		$25.34	$26.58	$51.31