Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.77 / $3,162.00 / $10,836.00	Facility		$498.77	$3,162.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $290.45 / $445.52	Professional		$190.59	$290.45	$445.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.66 / $488.43 / $1,143.74	Facility		$223.66	$488.43	$1,143.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.83 / $346.05 / $442.73	Professional		$234.83	$346.05	$442.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.29 / $218.29 / $389.35	Facility		$218.29	$218.29	$389.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.06 / $354.64 / $534.08	Professional		$242.06	$354.64	$534.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.74 / $26,542.00 / $26,542.00	Facility		$1,262.74	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.04 / $2,694.32 / $3,185.25	Professional		$1,833.04	$2,694.32	$3,185.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $336.31 / $486.32	Facility		$230.28	$336.31	$486.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $462.66 / $679.87	Professional		$310.93	$462.66	$679.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.49 / $336.61 / $492.19	Facility		$229.49	$336.61	$492.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $366.74 / $618.15	Professional		$245.04	$366.74	$618.15
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,287.00	Facility		$161.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.81 / $362.88 / $538.20	Professional		$251.81	$362.88	$538.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $352.18 / $493.05	Professional		$311.95	$352.18	$493.05