Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,380.38 / $4,365.16	Facility		$575.44	$1,380.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,047.13	Professional		$575.44	$724.44	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,698.24 / $4,168.69	Facility		$616.60	$1,698.24	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,380.38	Professional		$457.09	$1,148.15	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $7,079.46	Professional		$4,786.30	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,862.09	Facility		$724.44	$977.24	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,174.90	Professional		$575.44	$758.58	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,754.23	Facility		$676.08	$1,000.00	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $1,380.38	Professional		$501.19	$954.99	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $954.99	Facility		$338.84	$398.11	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $645.65	Professional		$398.11	$398.11	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $954.99 / $954.99	Professional		$371.54	$954.99	$954.99