Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.26 / $116.26 / $125.56	Facility		$116.26	$116.26	$125.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $125.56 / $232.52	Professional		$107.00	$125.56	$232.52
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 $126.38 / $126.38 / $158.11	Professional		$126.38	$126.38	$158.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $265.54 / $265.54 / $265.54	Facility		$265.54	$265.54	$265.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,123.06 / $1,338.88 / $1,338.88	Facility		$1,123.06	$1,338.88	$1,338.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.98 / $1,354.14 / $1,819.05	Professional		$1,352.98	$1,354.14	$1,819.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $185.06 / $265.54	Facility		$68.09	$185.06	$265.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $226.80 / $265.54	Professional		$68.86	$226.80	$265.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $177.43 / $265.54	Facility		$68.09	$177.43	$265.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $177.47	Professional		$121.52	$121.52	$177.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $130.01 / $161.72	Professional		$87.89	$130.01	$161.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $127.93 / $265.54	Professional		$126.97	$127.93	$265.54