Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $30.96 / $43.44	Professional		$23.11	$30.96	$43.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $153.04 / $175.12	Facility		$46.95	$153.04	$175.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Facility		$52.77	$52.77	$52.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $51.49	Facility		$24.44	$24.44	$51.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $46.18	Professional		$20.77	$24.44	$46.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $247.53 / $250.66	Facility		$100.00	$247.53	$250.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $38.49 / $52.77	Facility		$16.76	$38.49	$52.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $39.58 / $52.77	Professional		$5.25	$39.58	$52.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $32.86 / $52.77	Facility		$16.76	$32.86	$52.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $42.61	Professional		$20.77	$24.44	$42.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $26.33 / $37.25	Professional		$21.51	$26.33	$37.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $38.85 / $38.85	Professional		$33.68	$38.85	$38.85