Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $7,316.00	Facility		$425.00	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $116.76 / $198.72	Professional		$62.73	$116.76	$198.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $145.41 / $171.07	Professional		$70.01	$145.41	$171.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $486.10 / $486.10	Facility		$486.10	$486.10	$486.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.10 / $784.35 / $1,432.13	Professional		$691.10	$784.35	$1,432.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $159.65 / $300.48	Facility		$78.77	$159.65	$300.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $183.95 / $292.64	Professional		$121.11	$183.95	$292.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $161.22 / $385.31	Facility		$78.97	$161.22	$385.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $299.36	Professional		$153.85	$153.85	$299.36
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $269.58 / $448.76	Professional		$197.62	$269.58	$448.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $161.22 / $226.98	Professional		$142.72	$161.22	$226.98