Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $200.35 / $290.36	Professional		$149.47	$200.35	$290.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.54 / $1,171.08 / $1,350.64	Facility		$348.54	$1,171.08	$1,350.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $23.12 / $23.12	Professional		$20.81	$23.12	$23.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $306.50 / $306.50 / $419.17	Facility		$306.50	$306.50	$419.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $327.98	Facility		$204.05	$204.05	$327.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $244.85	Professional		$173.44	$173.44	$244.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $541.54 / $1,464.56 / $1,477.11	Facility		$541.54	$1,464.56	$1,477.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $290.36 / $419.17	Facility		$133.15	$290.36	$419.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $289.23 / $419.17	Professional		$38.56	$289.23	$419.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $231.78 / $419.17	Facility		$133.15	$231.78	$419.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $173.44 / $350.82	Professional		$133.15	$173.44	$350.82
United Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $131.80 / $219.99	Facility		$16.35	$131.80	$219.99
United Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $196.16 / $295.88	Professional		$131.80	$196.16	$295.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.06 / $247.24 / $247.24	Professional		$244.06	$247.24	$247.24