Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $130.71 / $238.22	Professional		$107.96	$130.71	$238.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.84 / $2,155.07 / $4,838.74	Facility		$1,219.84	$2,155.07	$4,838.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $151.09 / $206.52	Professional		$118.92	$151.09	$206.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $148.44 / $154.10	Facility		$80.00	$148.44	$154.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $175.86 / $268.01	Professional		$132.68	$175.86	$268.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $568.32 / $11,500.00 / $16,394.00	Facility		$568.32	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.23 / $1,461.62 / $1,509.85	Professional		$1,341.23	$1,461.62	$1,509.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $159.78 / $278.89	Facility		$126.56	$159.78	$278.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $222.23 / $275.56	Professional		$185.19	$222.23	$275.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $159.78 / $289.02	Facility		$126.19	$159.78	$289.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $182.03 / $274.80	Professional		$135.08	$182.03	$274.80
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $136.59 / $214.45	Professional		$102.44	$136.59	$214.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $143.05 / $197.36	Professional		$126.44	$143.05	$197.36