Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $150.04 / $162.04	Facility		$150.04	$150.04	$162.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $162.04 / $300.07	Professional		$150.04	$162.04	$300.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $204.05 / $204.05	Professional		$204.05	$204.05	$204.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $342.69 / $342.69 / $342.69	Facility		$342.69	$342.69	$342.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $220.51	Professional		$160.97	$160.97	$220.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.73 / $1,599.48 / $1,599.48	Facility		$572.73	$1,599.48	$1,599.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.73 / $1,710.73 / $2,545.35	Professional		$1,710.73	$1,710.73	$2,545.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $238.83 / $342.69	Facility		$98.71	$238.83	$342.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $308.42 / $342.69	Professional		$99.82	$308.42	$342.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $228.98 / $342.69	Facility		$98.71	$228.98	$342.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $227.13	Professional		$160.97	$160.97	$227.13
United Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $188.49 / $230.38	Professional		$127.42	$188.49	$230.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $187.23 / $342.69	Professional		$185.45	$187.23	$342.69