Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $52.48	Professional		$30.90	$39.81	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $263.03	Facility		$169.82	$239.88	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.13 / $5.13	Professional		$3.89	$5.13	$5.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $83.18	Facility		$64.57	$64.57	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Facility		$42.66	$42.66	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $56.23	Professional		$36.31	$42.66	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $302.00	Facility		$102.33	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $52.48 / $83.18	Facility		$22.39	$52.48	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $61.66	Professional		$30.90	$52.48	$61.66
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 $22.39 / $52.48 / $83.18	Facility		$22.39	$52.48	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $56.23	Professional		$36.31	$36.31	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $22.39 / $41.69	Facility		$2.88	$22.39	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $50.12	Professional		$25.12	$34.67	$50.12