Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $120.23	Facility		$75.86	$79.43	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $120.23	Professional		$70.79	$95.50	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $218.78 / $478.63	Facility		$120.23	$218.78	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $11.48	Professional		$10.00	$10.00	$11.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $120.23	Professional		$81.28	$95.50	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $128.82 / $173.78	Facility		$74.13	$128.82	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $123.03	Professional		$75.86	$120.23	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $169.82	Facility		$74.13	$120.23	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $120.23	Professional		$81.28	$81.28	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $60.26 / $95.50	Facility		$8.13	$60.26	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $165.96	Professional		$58.88	$93.33	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33