Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.91 / $691.20 / $704.50	Facility		$677.91	$691.20	$704.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $704.50 / $1,143.15	Professional		$638.26	$704.50	$1,143.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.44 / $722.44 / $722.44	Professional		$722.44	$722.44	$722.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,518.03 / $1,518.03 / $1,518.03	Facility		$1,518.03	$1,518.03	$1,518.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $655.23	Professional		$655.23	$655.23	$655.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,232.02 / $7,517.91 / $9,097.53	Facility		$3,232.02	$7,517.91	$9,097.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,193.29 / $9,193.29 / $10,773.38	Professional		$9,193.29	$9,193.29	$10,773.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $1,050.32 / $1,518.03	Facility		$462.65	$1,050.32	$1,518.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.65 / $1,366.23 / $1,631.89	Professional		$462.65	$1,366.23	$1,631.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $1,014.31 / $1,518.03	Facility		$462.65	$1,014.31	$1,518.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,356.89	Professional		$655.23	$655.23	$1,356.89
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $863.60 / $1,028.09	Professional		$597.19	$863.60	$1,028.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $860.58 / $874.87 / $1,518.03	Professional		$860.58	$874.87	$1,518.03