Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $122.34 / $158.09	Professional		$92.55	$122.34	$158.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $71.53 / $82.52	Facility		$21.29	$71.53	$82.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $16.14 / $16.14	Professional		$14.53	$16.14	$16.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $187.10 / $187.10 / $187.10	Facility		$187.10	$187.10	$187.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $206.23	Facility		$112.73	$112.73	$206.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $116.11	Professional		$95.82	$112.73	$116.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.33 / $955.82 / $990.66	Facility		$339.33	$955.82	$990.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $109.34 / $183.16	Facility		$25.60	$109.34	$183.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $70.06 / $210.61	Professional		$17.21	$70.06	$210.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $109.90 / $174.32	Facility		$25.60	$109.90	$174.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $112.73 / $112.73	Professional		$15.59	$112.73	$112.73
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $97.99 / $155.69	Professional		$70.20	$97.99	$155.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $152.99 / $162.08	Professional		$152.99	$152.99	$162.08