Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $25.12	Professional		$13.49	$19.05	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $109.65	Facility		$74.13	$100.00	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.00 / $2.00	Professional		$1.74	$2.00	$2.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $36.31	Facility		$31.62	$31.62	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $26.92	Facility		$20.89	$20.89	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $26.92	Professional		$17.78	$20.89	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $147.91	Facility		$100.00	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.95 / $36.31	Facility		$9.77	$19.95	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $28.84	Professional		$15.14	$23.99	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $36.31	Facility		$9.77	$20.89	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $26.92	Professional		$17.78	$17.78	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $10.47 / $19.50	Facility		$1.29	$10.47	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $21.88	Professional		$11.48	$15.85	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12