Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $48.77 / $52.67	Facility		$48.77	$48.77	$52.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $52.67 / $97.53	Professional		$48.77	$52.67	$97.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Professional		$66.31	$66.31	$66.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $111.39 / $111.39	Facility		$111.39	$111.39	$111.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $87.96	Professional		$74.77	$74.77	$87.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.86 / $513.52 / $513.52	Facility		$475.86	$513.52	$513.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $558.71 / $810.83	Professional		$558.71	$558.71	$810.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $81.84 / $111.39	Facility		$31.87	$81.84	$111.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $102.48 / $111.39	Professional		$31.87	$102.48	$111.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $81.84 / $111.39	Facility		$31.87	$81.84	$111.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $87.96	Professional		$74.77	$74.77	$87.96
United Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $60.87 / $74.40	Professional		$41.15	$60.87	$74.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $87.29 / $111.39	Professional		$78.86	$87.29	$111.39