Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.17 / $183.17 / $197.82	Facility		$183.17	$183.17	$197.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $197.82 / $366.34	Professional		$183.17	$197.82	$366.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.11 / $249.11 / $249.11	Professional		$249.11	$249.11	$249.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $418.37 / $418.37 / $418.37	Facility		$418.37	$418.37	$418.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $360.86	Professional		$263.43	$263.43	$360.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.36 / $2,281.13 / $2,649.65	Facility		$1,132.36	$2,281.13	$2,649.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,091.23 / $3,165.44 / $4,006.88	Professional		$3,091.23	$3,165.44	$4,006.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $293.52 / $418.37	Facility		$134.75	$293.52	$418.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $381.48 / $556.61	Professional		$136.27	$381.48	$556.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $299.44 / $418.37	Facility		$134.75	$299.44	$418.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $381.48	Professional		$263.43	$263.43	$381.48
United Facility/Professional Professional Modifier Low / Median / High Price $173.94 / $257.30 / $316.67	Professional		$173.94	$257.30	$316.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $254.41 / $418.37	Professional		$253.16	$254.41	$418.37