Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $3,596.00 / $12,040.00	Facility		$109.78	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $68.84 / $100.11	Professional		$58.30	$68.84	$100.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.99 / $379.22 / $1,536.98	Facility		$205.99	$379.22	$1,536.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.01 / $23.01	Professional		$19.55	$23.01	$23.01
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 Professional Modifier Low / Median / High Price $71.81 / $90.31 / $135.04	Professional		$71.81	$90.31	$135.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,862.05	Facility		$55.00	$55.00	$1,862.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $576.64 / $675.08	Professional		$570.00	$576.64	$675.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $84.66 / $117.10	Facility		$58.30	$84.66	$117.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $74.59 / $74.59	Professional		$74.59	$74.59	$74.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $84.66 / $119.02	Facility		$58.30	$84.66	$119.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $92.93 / $145.36	Professional		$73.20	$92.93	$145.36
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $78.31 / $118.30	Professional		$58.73	$78.31	$118.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $99.12	Professional		$73.42	$73.42	$99.12