Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $120.57 / $163.32	Facility		$75.97	$120.57	$163.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $102.83	Professional		$75.97	$76.73	$102.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $274.83 / $548.38	Facility		$108.59	$274.83	$548.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $73.56 / $73.56	Professional		$73.56	$73.56	$73.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $19,719.56 / $19,719.56 / $19,719.56	Facility		$19,719.56	$19,719.56	$19,719.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $75.97	Facility		$71.67	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $465.60 / $624.26	Facility		$93.68	$465.60	$624.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $108.64 / $111.90	Facility		$74.86	$108.64	$111.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $75.97 / $137.79	Professional		$56.15	$75.97	$137.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $111.90	Facility		$71.67	$75.97	$111.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $75.97 / $133.07	Professional		$71.83	$75.97	$133.07
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $73.52 / $102.56	Professional		$73.52	$73.52	$102.56