Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $524.81	Facility		$69.18	$165.96	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $125.89	Professional		$67.61	$89.13	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $208.93 / $501.19	Facility		$74.13	$208.93	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $173.78	Professional		$60.26	$131.83	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $213.80	Facility		$75.86	$114.82	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $138.04	Professional		$67.61	$91.20	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $281.84	Facility		$75.86	$114.82	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $120.23	Professional		$60.26	$89.13	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $114.82	Facility		$40.74	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $69.18	Professional		$47.86	$47.86	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $114.82	Professional		$44.67	$44.67	$114.82