Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.52 / $942.98 / $1,753.93	Facility		$292.52	$942.98	$1,753.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $315.92 / $585.04	Professional		$292.52	$315.92	$585.04
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 $668.13 / $668.13 / $668.13	Facility		$668.13	$668.13	$668.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $319.38	Professional		$319.38	$319.38	$319.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,890.88 / $3,173.62 / $3,173.62	Facility		$2,890.88	$3,173.62	$3,173.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,327.29 / $3,327.29 / $5,010.97	Professional		$3,327.29	$3,327.29	$5,010.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $465.61 / $668.13	Facility		$193.66	$465.61	$668.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.85 / $614.67 / $668.13	Professional		$195.85	$614.67	$668.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $446.41 / $668.13	Facility		$193.66	$446.41	$668.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $538.20	Professional		$319.38	$319.38	$538.20
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $369.82 / $451.99	Professional		$250.00	$369.82	$451.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.14 / $363.85 / $668.13	Professional		$361.14	$363.85	$668.13