Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.88 / $196.88 / $212.63	Facility		$196.88	$196.88	$212.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.88 / $212.63 / $393.76	Professional		$196.88	$212.63	$393.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $267.76 / $267.76	Professional		$267.76	$267.76	$267.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $449.69 / $449.69 / $449.69	Facility		$449.69	$449.69	$449.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $318.35	Professional		$232.40	$232.40	$318.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $751.50 / $2,083.02 / $2,083.02	Facility		$751.50	$2,083.02	$2,083.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,252.01 / $2,252.01 / $3,274.50	Professional		$2,252.01	$2,252.01	$3,274.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $337.60 / $449.69	Facility		$128.69	$337.60	$449.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $404.72 / $449.69	Professional		$130.15	$404.72	$449.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $318.35 / $449.69	Facility		$128.69	$318.35	$449.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $339.37	Professional		$232.40	$232.40	$339.37
United Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $245.76 / $300.36	Professional		$166.13	$245.76	$300.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $243.00 / $449.69	Professional		$241.80	$243.00	$449.69