Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $616.60 / $1,949.84	Facility		$257.04	$616.60	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $457.09	Professional		$257.04	$323.59	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
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 $275.42 / $776.25 / $1,905.46	Facility		$275.42	$776.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $524.81 / $616.60	Professional		$204.17	$524.81	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $3,235.94	Professional		$2,137.96	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $794.33	Facility		$323.59	$436.52	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $537.03	Professional		$257.04	$338.84	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $1,258.93	Facility		$302.00	$446.68	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $741.31	Professional		$204.17	$446.68	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $177.83 / $426.58	Facility		$154.88	$177.83	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Professional		$177.83	$177.83	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $426.58 / $426.58	Professional		$165.96	$426.58	$426.58