Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $60.18 / $639.90	Facility		$47.00	$60.18	$639.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $60.18 / $113.35	Professional		$47.00	$60.18	$113.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $187.91 / $313.01	Facility		$78.17	$187.91	$313.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $16.53 / $67.98	Professional		$5.85	$16.53	$67.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $64.42 / $74.36	Facility		$60.72	$64.42	$74.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $242.91 / $386.40	Facility		$100.49	$242.91	$386.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $81.12 / $136.65	Professional		$52.44	$81.12	$136.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.62 / $418.95 / $418.95	Facility		$154.62	$418.95	$418.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $502.00 / $557.63	Professional		$502.00	$502.00	$557.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $87.27 / $133.40	Facility		$61.24	$87.27	$133.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $105.68 / $162.94	Professional		$60.79	$105.68	$162.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.47 / $97.50 / $282.99	Facility		$64.47	$97.50	$282.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $82.33 / $143.78	Professional		$52.87	$82.33	$143.78
United Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $77.95 / $123.01	Professional		$62.65	$77.95	$123.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $60.79 / $87.03	Professional		$54.66	$60.79	$87.03