Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $52.48	Facility		$51.29	$51.29	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $85.11	Professional		$46.77	$56.23	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $117.49	Facility		$79.43	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $851.14	Professional		$691.83	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $144.54	Facility		$50.12	$95.50	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $114.82	Professional		$48.98	$61.66	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $72.44	Professional		$63.10	$63.10	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $154.88	Facility		$51.29	$89.13	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $120.23	Facility		$32.36	$51.29	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $74.13	Professional		$42.66	$61.66	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49