Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $995.05	Facility		$187.04	$187.04	$995.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $187.04 / $233.80	Professional		$164.60	$187.04	$233.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $183.25 / $183.25	Professional		$183.25	$183.25	$183.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.69 / $374.08 / $675.45	Facility		$177.69	$374.08	$675.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $267.47	Facility		$187.04	$187.04	$267.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $267.47	Facility		$175.41	$175.41	$267.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
United Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $184.91 / $187.09	Professional		$148.87	$184.91	$187.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $153.87 / $207.72	Professional		$153.87	$153.87	$207.72