Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,281.00	Facility		$732.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $197.33 / $226.02	Professional		$171.07	$197.33	$226.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $150.76 / $150.76	Professional		$150.76	$150.76	$150.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $236.22 / $236.22	Facility		$236.22	$236.22	$236.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $289.69 / $983.81	Professional		$231.75	$289.69	$983.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $2,710.90 / $2,710.90	Facility		$468.34	$2,710.90	$2,710.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.56 / $1,535.04 / $1,788.98	Professional		$1,492.56	$1,535.04	$1,788.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.40 / $194.40 / $329.78	Facility		$105.40	$194.40	$329.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $197.80 / $4,336.00	Professional		$99.77	$197.80	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $197.33 / $370.01	Facility		$107.57	$197.33	$370.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $185.66 / $354.72	Professional		$103.58	$185.66	$354.72
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $209.93 / $331.69	Professional		$157.44	$209.93	$331.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $189.75 / $252.64	Professional		$179.25	$189.75	$252.64