Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $169.82	Facility		$158.49	$158.49	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $309.03	Professional		$138.04	$177.83	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $371.54 / $371.54	Facility		$79.43	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $2,818.38	Professional		$1,862.09	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $457.09	Facility		$154.88	$295.12	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $371.54	Professional		$141.25	$181.97	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $457.09	Facility		$158.49	$275.42	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $354.81	Facility		$114.82	$213.80	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $234.42	Professional		$128.82	$194.98	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54