Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $102.33	Facility		$14.13	$36.31	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $23.44	Professional		$12.02	$15.85	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $66.07 / $117.49	Facility		$26.30	$66.07	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $18.62	Professional		$5.01	$10.72	$18.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $40.74 / $91.20	Facility		$19.05	$40.74	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $33.11	Professional		$10.47	$13.80	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.50 / $36.31	Facility		$14.79	$19.50	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $25.70	Professional		$11.75	$17.78	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $33.11	Professional		$14.79	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $57.54	Facility		$14.79	$21.38	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $33.11	Professional		$10.96	$14.13	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.18 / $19.50	Facility		$7.08	$13.18	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $16.22	Professional		$8.32	$11.48	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $19.50	Professional		$7.59	$7.59	$19.50