Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $19.07	Professional		$17.66	$17.66	$19.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $32.50	Professional		$26.00	$26.00	$32.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $64.00	Facility		$17.00	$17.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $147.49	Professional		$19.50	$19.50	$147.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.12 / $56.12	Professional		$43.65	$56.12	$56.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $36.54	Facility		$17.66	$17.66	$36.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $42.65 / $42.65	Professional		$42.65	$42.65	$42.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $29.67	Facility		$17.66	$17.66	$29.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $149.72	Professional		$19.50	$19.50	$149.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00