Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $2,344.23	Facility		$181.97	$223.87	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $363.08	Professional		$194.98	$245.47	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $204.17 / $245.47	Professional		$27.54	$204.17	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Facility		$229.09	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,071.52 / $1,584.89	Facility		$398.11	$1,071.52	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $537.03	Professional		$199.53	$295.12	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,089.30	Professional		$1,737.80	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $512.86	Facility		$218.78	$295.12	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $602.56	Professional		$204.17	$363.08	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $1,202.26	Facility		$229.09	$346.74	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $537.03	Professional		$208.93	$281.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $831.76	Facility		$323.59	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $436.52	Professional		$229.09	$288.40	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $251.19	Professional		$239.88	$239.88	$251.19