Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $41.69	Professional		$22.91	$30.90	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $186.21	Facility		$125.89	$169.82	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.31 / $3.31	Professional		$3.24	$3.31	$3.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $61.66	Facility		$53.70	$53.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $45.71	Professional		$22.39	$26.30	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $251.19	Facility		$100.00	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $61.66	Facility		$16.98	$38.02	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $41.69 / $51.29	Professional		$16.98	$41.69	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $35.48 / $35.48	Professional		$3.55	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $36.31 / $61.66	Facility		$16.98	$36.31	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $40.74	Professional		$22.39	$22.39	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $17.38 / $32.36	Facility		$2.09	$17.38	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $37.15	Professional		$19.95	$26.30	$37.15