Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $146.86 / $195.09	Professional		$111.41	$146.86	$195.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $13.81 / $13.81	Professional		$13.81	$13.81	$13.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $250.40 / $250.40 / $250.40	Facility		$250.40	$250.40	$250.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $153.77 / $153.77	Professional		$18.59	$153.77	$153.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $408.04 / $1,123.95 / $1,164.94	Facility		$408.04	$1,123.95	$1,164.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $68.58 / $194.10	Facility		$14.11	$68.58	$194.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $23.04 / $209.69	Professional		$19.60	$23.04	$209.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $68.58 / $176.34	Facility		$18.09	$68.58	$176.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $153.77 / $153.77	Professional		$18.44	$153.77	$153.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $100.97 / $170.63	Professional		$84.29	$100.97	$170.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $159.90	Professional		$159.56	$159.56	$159.90