Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $31.61 / $31.61	Facility		$31.61	$31.61	$31.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.08 / $21.08	Professional		$21.01	$21.08	$21.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $49.97 / $49.97	Professional		$49.97	$49.97	$49.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $1,693.80 / $1,693.80	Facility		$10.96	$1,693.80	$1,693.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Facility		$12.50	$12.50	$12.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $24.84 / $24.84	Professional		$12.50	$24.84	$24.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.41 / $86.41 / $86.41	Facility		$86.41	$86.41	$86.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $21.08 / $21.08	Facility		$21.08	$21.08	$21.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $216.60 / $216.60	Professional		$216.60	$216.60	$216.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $21.08 / $21.08	Facility		$12.50	$21.08	$21.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $24.84 / $24.84	Professional		$12.50	$24.84	$24.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.93 / $25.00	Professional		$6.70	$8.93	$25.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50