Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.48 / $1,022.00 / $1,399.35	Professional		$755.48	$1,022.00	$1,399.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.30 / $501.65 / $578.55	Facility		$149.30	$501.65	$578.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $99.05 / $99.05	Professional		$99.05	$99.05	$99.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,795.60 / $1,795.60 / $1,795.60	Facility		$1,795.60	$1,795.60	$1,795.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $860.04	Professional		$731.03	$860.04	$860.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.09 / $8,057.06 / $8,350.79	Facility		$2,925.09	$8,057.06	$8,350.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $491.54 / $1,332.40	Facility		$101.11	$491.54	$1,332.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $179.56 / $1,502.68	Professional		$140.54	$179.56	$1,502.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.74 / $491.54 / $1,194.95	Facility		$129.74	$491.54	$1,194.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $860.04	Professional		$126.91	$860.04	$860.04
United Facility/Professional Professional Modifier Low / Median / High Price $564.65 / $724.61 / $990.26	Professional		$564.65	$724.61	$990.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $974.83 / $974.83 / $1,080.01	Professional		$974.83	$974.83	$1,080.01