Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $204.17 / $645.65	Facility		$93.33	$204.17	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $158.49	Professional		$85.11	$107.15	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $93.33 / $263.03 / $630.96	Facility		$93.33	$263.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $208.93	Professional		$75.86	$173.78	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Professional		$707.95	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $269.15	Facility		$100.00	$141.25	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $177.83	Professional		$85.11	$114.82	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $398.11	Facility		$100.00	$147.91	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $251.19	Professional		$79.43	$151.36	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $141.25	Facility		$51.29	$60.26	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $97.72	Professional		$60.26	$60.26	$97.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $141.25	Professional		$56.23	$141.25	$141.25