Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $1,246.82 / $3,470.89	Facility		$427.48	$1,246.82	$3,470.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $498.73 / $676.85	Professional		$398.98	$498.73	$676.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $72.05 / $132.80	Facility		$34.14	$72.05	$132.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $712.47 / $712.47	Professional		$712.47	$712.47	$712.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $712.47 / $712.47	Facility		$712.47	$712.47	$712.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.14 / $1,635.19 / $3,173.68	Facility		$459.14	$1,635.19	$3,173.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $868.13 / $1,085.16	Professional		$377.61	$868.13	$1,085.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.95 / $3,384.23 / $3,384.23	Facility		$1,139.95	$3,384.23	$3,384.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $712.47 / $783.72	Facility		$427.48	$712.47	$783.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.22 / $712.47 / $712.47	Professional		$641.22	$712.47	$712.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $712.47 / $890.59	Facility		$427.48	$712.47	$890.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.60 / $676.85 / $751.66	Professional		$548.60	$676.85	$751.66
United Facility/Professional Facility Modifier Low / Median / High Price $256.49 / $299.24 / $712.47	Facility		$256.49	$299.24	$712.47
United Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $299.24 / $463.11	Professional		$299.24	$299.24	$463.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.92 / $712.47	Professional		$8.65	$8.92	$712.47