Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.85 / $178.85 / $435.50	Facility		$178.85	$178.85	$435.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $193.15 / $357.69	Professional		$166.70	$193.15	$357.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.23 / $243.23 / $243.23	Professional		$243.23	$243.23	$243.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $408.49 / $408.49 / $408.49	Facility		$408.49	$408.49	$408.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $243.19	Professional		$177.53	$177.53	$243.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.27 / $1,857.26 / $2,218.35	Facility		$831.27	$1,857.26	$2,218.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,627.87 / $2,690.96 / $2,690.96	Professional		$2,627.87	$2,690.96	$2,690.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $286.58 / $408.49	Facility		$112.81	$286.58	$408.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.09 / $367.64 / $424.66	Professional		$114.09	$367.64	$424.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $272.93 / $408.49	Facility		$112.81	$272.93	$408.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $259.25	Professional		$177.53	$177.53	$259.25
United Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $215.42 / $263.27	Professional		$145.62	$215.42	$263.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $218.27 / $408.49	Professional		$211.96	$218.27	$408.49