Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $296.94 / $585.84	Facility		$164.59	$296.94	$585.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $166.23 / $230.94	Professional		$164.59	$166.23	$230.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.86 / $408.50 / $815.07	Facility		$167.86	$408.50	$815.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $177.15 / $177.15	Professional		$177.15	$177.15	$177.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,839.72 / $4,839.72 / $4,839.72	Facility		$4,839.72	$4,839.72	$4,839.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $164.59	Facility		$155.27	$164.59	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.22 / $850.55 / $850.55	Facility		$217.22	$850.55	$850.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $235.36 / $242.43	Facility		$166.23	$235.36	$242.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $164.59 / $300.26	Professional		$126.10	$164.59	$300.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $237.71	Facility		$155.27	$164.59	$237.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $164.59 / $298.44	Professional		$155.59	$164.59	$298.44
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $165.89 / $222.20	Professional		$164.59	$165.89	$222.20