Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $138.04	Professional		$81.28	$114.82	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Facility		$100.00	$120.23	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $154.88	Professional		$89.13	$138.04	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $162.18	Facility		$97.72	$109.65	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Professional		$83.18	$83.18	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $60.26 / $107.15	Facility		$6.61	$60.26	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $131.83	Professional		$66.07	$87.10	$131.83