Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $199.53	Facility		$194.98	$194.98	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $338.84	Professional		$181.97	$208.93	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $436.52 / $436.52	Facility		$79.43	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $3,467.37	Professional		$3,311.31	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $588.84	Facility		$190.55	$354.81	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $512.86	Professional		$190.55	$234.42	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $239.88	Professional		$234.42	$234.42	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $616.60	Facility		$190.55	$338.84	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $478.63	Facility		$128.82	$204.17	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $295.12	Professional		$173.78	$251.19	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52