Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $37.15 / $275.42	Facility		$20.89	$37.15	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $25.70	Professional		$20.89	$20.89	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $57.54 / $112.20	Facility		$25.12	$57.54	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $275.42	Facility		$20.89	$29.51	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $22.91	Professional		$20.89	$20.89	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $89.13	Facility		$21.38	$30.90	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $28.18	Professional		$22.91	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38