Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $58.72 / $76.06	Professional		$42.42	$58.72	$76.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.98 / $302.54 / $350.55	Facility		$93.98	$302.54	$350.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $6.05 / $6.05	Professional		$5.84	$6.05	$6.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $93.71 / $113.02	Facility		$93.71	$93.71	$113.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $99.12	Facility		$66.39	$66.39	$99.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $77.00	Professional		$56.43	$56.43	$77.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.18 / $476.05 / $476.05	Facility		$152.18	$476.05	$476.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $72.86 / $113.02	Facility		$36.40	$72.86	$113.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $79.65 / $111.26	Professional		$8.61	$79.65	$111.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $66.39 / $113.02	Facility		$36.40	$66.39	$113.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $56.43 / $88.45	Professional		$36.40	$56.43	$88.45
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $56.85 / $80.88	Professional		$37.11	$56.85	$80.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $76.52 / $76.52	Professional		$75.95	$76.52	$76.52