Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $7,585.78	Facility		$870.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $812.83 / $1,071.52	Professional		$295.12	$812.83	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $13,489.63	Facility		$1,148.15	$2,511.89	$13,489.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $2,754.23	Professional		$794.33	$794.33	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $4,073.80	Facility		$575.44	$1,071.52	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $912.01 / $1,096.48	Professional		$295.12	$912.01	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $1,819.70	Facility		$467.74	$933.25	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $2,754.23	Professional		$562.34	$794.33	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,071.52 / $2,691.53	Facility		$158.49	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $758.58	Professional		$338.84	$467.74	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $741.31	Professional		$660.69	$741.31	$741.31