Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $160.38 / $173.21	Facility		$160.38	$160.38	$173.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $174.34 / $320.76	Professional		$160.38	$174.34	$320.76
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 $366.32 / $366.32 / $366.32	Facility		$366.32	$366.32	$366.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $228.90	Professional		$194.57	$194.57	$228.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,907.92 / $1,953.68 / $1,953.68	Facility		$1,907.92	$1,953.68	$1,953.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,432.33 / $2,432.33 / $2,747.40	Professional		$2,432.33	$2,432.33	$2,747.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $255.29 / $366.32	Facility		$117.98	$255.29	$366.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $337.01 / $488.42	Professional		$117.98	$337.01	$488.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $244.76 / $366.32	Facility		$117.98	$244.76	$366.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $235.77	Professional		$194.57	$194.57	$235.77
United Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $225.29 / $275.29	Professional		$152.30	$225.29	$275.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $221.67 / $366.32	Professional		$220.02	$221.67	$366.32