Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.18 / $268.18 / $289.63	Facility		$268.18	$268.18	$289.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.18 / $289.63 / $536.36	Professional		$268.18	$289.63	$536.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.72 / $364.72 / $364.72	Professional		$364.72	$364.72	$364.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $612.54 / $612.54 / $612.54	Facility		$612.54	$612.54	$612.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $401.27	Professional		$292.93	$292.93	$401.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.57 / $2,837.20 / $2,837.20	Facility		$1,023.57	$2,837.20	$2,837.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,067.43 / $3,067.43 / $4,460.03	Professional		$3,067.43	$3,067.43	$4,460.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $426.87 / $612.54	Facility		$175.30	$426.87	$612.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.28 / $551.29 / $612.54	Professional		$177.28	$551.29	$612.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $409.27 / $612.54	Facility		$175.30	$409.27	$612.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $427.77	Professional		$292.93	$292.93	$427.77
United Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $334.74 / $409.27	Professional		$226.28	$334.74	$409.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $433.67 / $612.54	Professional		$350.00	$433.67	$612.54