Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $190.47 / $190.47	Professional		$190.47	$190.47	$190.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $285.00 / $285.00	Facility		$100.00	$285.00	$285.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.77 / $1,289.77 / $1,341.36	Professional		$1,289.77	$1,289.77	$1,341.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $235.20	Facility		$140.00	$140.00	$235.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $223.29	Facility		$140.00	$140.00	$223.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $198.51 / $284.41	Professional		$142.21	$198.51	$284.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $266.75 / $272.91	Professional		$242.71	$266.75	$272.91