Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $254.29 / $6,765.91	Facility		$177.04	$254.29	$6,765.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $191.20 / $354.08	Professional		$177.04	$191.20	$354.08
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $404.37 / $404.37 / $404.37	Facility		$404.37	$404.37	$404.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $252.68	Professional		$194.10	$194.10	$252.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,076.44 / $2,126.28 / $2,126.28	Facility		$2,076.44	$2,126.28	$2,126.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,647.22 / $2,647.22 / $3,032.78	Professional		$2,647.22	$2,647.22	$3,032.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $281.81 / $404.37	Facility		$130.22	$281.81	$404.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $372.02 / $404.37	Professional		$131.69	$372.02	$404.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $270.19 / $404.37	Facility		$130.22	$270.19	$404.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $260.26	Professional		$194.10	$194.10	$260.26
United Facility/Professional Professional Modifier Low / Median / High Price $168.11 / $248.69 / $303.95	Professional		$168.11	$248.69	$303.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $244.69 / $404.37	Professional		$242.86	$244.69	$404.37