Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,071.52	Professional		$562.34	$758.58	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $75.86	Professional		$72.44	$75.86	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Facility		$1,202.26	$1,202.26	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $912.01	Professional		$398.11	$457.09	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,754.40 / $5,754.40	Facility		$1,819.70	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $954.99 / $1,412.54	Facility		$134.90	$954.99	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,122.02	Professional		$602.56	$954.99	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,412.54	Facility		$537.03	$831.76	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $562.34	Professional		$398.11	$457.09	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $407.38 / $724.44	Facility		$46.77	$407.38	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $912.01	Professional		$457.09	$588.84	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01