Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.10 / $754.10 / $814.42	Facility		$754.10	$754.10	$814.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.61 / $814.42 / $1,508.19	Professional		$733.61	$814.42	$1,508.19
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,722.39 / $1,722.39 / $1,722.39	Facility		$1,722.39	$1,722.39	$1,722.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $963.23	Professional		$703.15	$703.15	$963.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,261.60 / $9,722.68 / $9,722.68	Facility		$8,261.60	$9,722.68	$9,722.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,112.74 / $10,112.74 / $11,561.25	Professional		$10,112.74	$10,112.74	$11,561.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $1,208.39 / $1,722.39	Facility		$496.48	$1,208.39	$1,722.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.08 / $1,541.50 / $1,722.39	Professional		$502.08	$1,541.50	$1,722.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $1,150.84 / $1,722.39	Facility		$496.48	$1,150.84	$1,722.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $992.12	Professional		$703.15	$703.15	$992.12
United Facility/Professional Professional Modifier Low / Median / High Price $640.87 / $948.05 / $1,185.07	Professional		$640.87	$948.05	$1,185.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.78 / $1,450.68 / $1,722.39	Professional		$932.78	$1,450.68	$1,722.39