Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $208.93	Professional		$107.15	$154.88	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $263.03	Facility		$257.04	$257.04	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $257.04	Facility		$173.78	$173.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $147.91 / $173.78	Professional		$22.39	$147.91	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,380.38 / $1,380.38	Facility		$257.04	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $77.62 / $204.17	Facility		$28.84	$77.62	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $204.17	Professional		$117.49	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $2,754.23	Professional		$16.60	$23.44	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $134.90 / $204.17	Facility		$28.84	$134.90	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $173.78	Professional		$75.86	$147.91	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $81.28 / $154.88	Facility		$10.47	$81.28	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $173.78	Professional		$87.10	$117.49	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93