Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.13 / $47,262.00 / $57,555.00	Facility		$198.13	$47,262.00	$57,555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $215.83 / $350.67	Professional		$176.18	$215.83	$350.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.63 / $404.01 / $24,844.00	Facility		$224.63	$404.01	$24,844.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.93 / $254.80 / $354.99	Professional		$199.93	$254.80	$354.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.43 / $194.43 / $194.43	Facility		$194.43	$194.43	$194.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35,873.00 / $45,307.00 / $58,336.00	Facility		$35,873.00	$45,307.00	$58,336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $296.66 / $435.27	Professional		$234.47	$296.66	$435.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,020.63	Facility		$55.00	$55.00	$1,020.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $46.28 / $100.06 / $102.06	Facility	AS	$46.28	$100.06	$102.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.09 / $1,876.09 / $1,954.50	Professional		$1,876.09	$1,876.09	$1,954.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $257.92 / $494.14	Facility		$192.06	$257.92	$494.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $327.13 / $384.86	Professional		$277.95	$327.13	$384.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.13 / $272.66 / $561.20	Facility		$198.13	$272.66	$561.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.66 / $70.66 / $70.66	Facility	AS	$70.66	$70.66	$70.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $298.77 / $440.99	Professional		$234.47	$298.77	$440.99
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,562.00	Facility		$564.00	$2,100.00	$4,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.82 / $240.63 / $389.59	Professional		$178.82	$240.63	$389.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $207.73 / $283.14	Professional		$182.48	$207.73	$283.14