Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,548.82	Professional		$724.44	$912.01	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $9,120.11	Facility		$2,344.23	$4,677.35	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,230.27	Professional		$724.44	$912.01	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $831.76	Facility		$79.43	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,621.81	Professional		$870.96	$1,096.48	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $45,708.82 / $45,708.82	Facility		$11,220.18	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $4,677.35	Facility		$812.83	$1,148.15	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,548.82	Professional		$794.33	$1,096.48	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,513.56	Facility		$794.33	$1,000.00	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,737.80	Professional		$870.96	$1,174.90	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,380.38	Professional		$707.95	$954.99	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83