Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $171.65 / $269.67	Facility		$158.62	$171.65	$269.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $158.62 / $176.07	Professional		$134.83	$158.62	$176.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $253.99 / $501.75	Facility		$100.35	$253.99	$501.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Professional		$113.00	$113.00	$113.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $58.80 / $58.80	Facility		$58.80	$58.80	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $148.32 / $148.32	Professional		$110.00	$148.32	$148.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $317.24 / $566.78	Facility		$150.69	$317.24	$566.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.55 / $158.62 / $226.83	Facility		$79.55	$158.62	$226.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $71.83 / $71.83	Professional		$71.83	$71.83	$71.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $148.32 / $226.83	Facility		$95.74	$148.32	$226.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $148.32 / $148.32	Professional		$102.88	$148.32	$148.32
United Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $156.27 / $158.62	Professional		$125.81	$156.27	$158.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $127.04 / $128.72	Professional		$94.10	$127.04	$128.72