Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $44.67	Professional		$22.91	$33.88	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $199.53	Facility		$128.82	$177.83	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $3.98	Professional		$3.02	$3.98	$3.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $63.10	Facility		$58.88	$58.88	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $48.98	Professional		$32.36	$38.02	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $275.42 / $275.42	Facility		$100.00	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $63.10	Facility		$19.50	$43.65	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $56.23	Professional		$25.70	$44.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $63.10	Facility		$19.50	$41.69	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $44.67	Professional		$32.36	$32.36	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $19.50 / $37.15	Facility		$2.45	$19.50	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $43.65	Professional		$22.39	$29.51	$43.65