Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $660.69 / $2,089.30	Facility		$275.42	$660.69	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $512.86	Professional		$275.42	$354.81	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $2,089.30	Facility		$302.00	$478.63	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $707.95	Professional		$467.74	$562.34	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $467.74 / $912.01	Facility		$309.03	$467.74	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $562.34	Professional		$288.40	$398.11	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $1,071.52	Facility		$295.12	$467.74	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $436.52 / $489.78	Professional		$79.43	$436.52	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $467.74	Facility		$165.96	$218.78	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $467.74	Professional		$194.98	$194.98	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $467.74	Professional		$2.04	$2.04	$467.74