Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.99 / $291.60 / $297.20	Facility		$285.99	$291.60	$297.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.38 / $297.20 / $482.25	Professional		$280.38	$297.20	$482.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.32 / $381.32 / $381.32	Professional		$381.32	$381.32	$381.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $640.41 / $640.41 / $640.41	Facility		$640.41	$640.41	$640.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $400.16	Professional		$292.12	$292.12	$400.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,392.11 / $3,405.00 / $3,405.00	Facility		$3,392.11	$3,405.00	$3,405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,239.22 / $4,239.22 / $6,404.10	Professional		$4,239.22	$4,239.22	$6,404.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $446.31 / $640.41	Facility		$206.26	$446.31	$640.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.26 / $589.17 / $640.41	Professional		$206.26	$589.17	$640.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $427.91 / $640.41	Facility		$206.26	$427.91	$640.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $412.16	Professional		$292.12	$292.12	$412.16
United Facility/Professional Facility Modifier Low / Median / High Price $725.80 / $725.80 / $853.88	Facility		$725.80	$725.80	$853.88
United Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $385.02 / $458.35	Professional		$266.25	$385.02	$458.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $383.67 / $640.41	Professional		$375.02	$383.67	$640.41