Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $46.77	Professional		$23.99	$34.67	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $204.17	Facility		$134.90	$186.21	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.17 / $4.17	Professional		$3.72	$4.17	$4.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Facility		$60.26	$60.26	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Facility		$38.90	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $51.29	Professional		$33.11	$38.90	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $281.84	Facility		$100.00	$281.84	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $45.71 / $64.57	Facility		$6.03	$45.71	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $57.54	Professional		$26.92	$45.71	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $43.65 / $64.57	Facility		$20.42	$43.65	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $46.77	Professional		$33.11	$33.11	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $20.42 / $38.02	Facility		$2.57	$20.42	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $44.67	Professional		$22.91	$30.90	$44.67