Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $148.29 / $1,114.16	Facility		$113.76	$148.29	$1,114.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $145.63 / $233.68	Professional		$115.58	$145.63	$233.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.42 / $459.99 / $780.19	Facility		$180.42	$459.99	$780.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $39.17 / $148.30	Professional		$17.30	$39.17	$148.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $127.28 / $180.66	Facility		$121.12	$127.28	$180.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.58 / $699.78 / $1,571.27	Facility		$287.58	$699.78	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $174.16 / $350.94	Professional		$107.23	$174.16	$350.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.51 / $1,229.45 / $1,229.45	Facility		$309.51	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.68 / $1,140.68 / $1,140.68	Professional		$1,140.68	$1,140.68	$1,140.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $168.14 / $327.62	Facility		$124.04	$168.14	$327.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $210.29 / $402.03	Professional		$121.36	$210.29	$402.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $216.71 / $817.42	Facility		$128.19	$216.71	$817.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $175.23 / $358.87	Professional		$112.64	$175.23	$358.87
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $576.99 / $866.23	Facility		$377.12	$576.99	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $187.97 / $281.95	Professional		$125.30	$187.97	$281.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $121.36 / $173.07	Professional		$108.77	$121.36	$173.07