Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $1,360.67 / $1,745.60	Facility		$796.09	$1,360.67	$1,745.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $804.05 / $961.54	Professional		$796.09	$804.05	$961.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.05 / $1,493.44 / $2,950.30	Facility		$590.05	$1,493.44	$2,950.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.60 / $798.60 / $798.60	Professional		$798.60	$798.60	$798.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $791.98 / $791.98 / $791.98	Facility		$791.98	$791.98	$791.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $796.09 / $796.09	Facility		$751.03	$796.09	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.95 / $3,356.12 / $3,356.12	Facility		$1,058.95	$3,356.12	$3,356.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.46 / $804.05 / $1,138.41	Facility		$794.46	$804.05	$1,138.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $770.84 / $806.64 / $1,138.60	Professional		$770.84	$806.64	$1,138.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $796.09 / $835.90	Facility		$751.03	$796.09	$835.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.84 / $796.09 / $835.90	Professional		$770.84	$796.09	$835.90
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $796.09	Professional		$318.44	$796.09	$796.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $760.15 / $760.15 / $800.15	Professional		$760.15	$760.15	$800.15