Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.53 / $771.53 / $833.25	Facility		$771.53	$771.53	$833.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.53 / $859.94 / $1,543.05	Professional		$771.53	$859.94	$1,543.05
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 $1,049.27 / $1,049.27 / $1,049.27	Professional		$1,049.27	$1,049.27	$1,049.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,762.21 / $1,762.21 / $1,762.21	Facility		$1,762.21	$1,762.21	$1,762.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,498.90	Professional		$1,094.20	$1,094.20	$1,498.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,517.39 / $11,160.65 / $11,160.65	Facility		$9,517.39	$11,160.65	$11,160.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,630.57 / $11,886.35 / $15,787.43	Professional		$11,630.57	$11,886.35	$15,787.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.55 / $1,261.25 / $1,762.21	Facility		$567.55	$1,261.25	$1,762.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $573.97 / $1,606.62 / $2,349.61	Professional		$573.97	$1,606.62	$2,349.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.55 / $1,272.53 / $1,762.21	Facility		$567.55	$1,272.53	$1,762.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,543.87	Professional		$1,094.20	$1,094.20	$1,543.87
United Facility/Professional Professional Modifier Low / Median / High Price $732.62 / $1,083.79 / $1,324.60	Professional		$732.62	$1,083.79	$1,324.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,066.33 / $1,076.58 / $1,762.21	Professional		$1,066.33	$1,076.58	$1,762.21