Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $1,333.37	Facility		$175.28	$175.28	$1,333.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $175.28 / $175.28	Professional		$163.77	$175.28	$175.28
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $54.28 / $54.28	Professional		$54.28	$54.28	$54.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $166.83 / $166.83	Facility		$166.83	$166.83	$166.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $148.66 / $178.12	Professional		$100.00	$148.66	$178.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $100.00 / $100.00	Facility		$99.90	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $115.97 / $115.97	Professional		$115.97	$115.97	$115.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $371.59	Facility		$175.28	$175.28	$371.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $371.59	Facility		$175.28	$175.28	$371.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,250,000.00 / $2,400,000.00	Professional		$100.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Professional		$127.26	$127.26	$127.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $131.07 / $176.94	Professional		$30.00	$131.07	$176.94