Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $790.20 / $1,117.09	Professional		$565.50	$790.20	$1,117.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $80.38 / $80.38	Professional		$80.38	$80.38	$80.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,354.80 / $1,354.80 / $1,354.80	Facility		$1,354.80	$1,354.80	$1,354.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $1,317.74	Facility		$833.40	$833.40	$1,317.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.39 / $833.40 / $944.00	Professional		$708.39	$833.40	$944.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,581.31 / $7,110.09 / $7,369.29	Facility		$2,581.31	$7,110.09	$7,369.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $959.82 / $1,354.80	Facility		$437.50	$959.82	$1,354.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $137.74 / $1,152.72	Professional		$126.72	$137.74	$1,152.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $833.40 / $1,354.80	Facility		$437.50	$833.40	$1,354.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $833.40 / $944.00	Professional		$106.49	$833.40	$944.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.15 / $688.08 / $972.22	Professional		$557.15	$688.08	$972.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $878.98 / $1,014.01 / $1,014.01	Professional		$878.98	$1,014.01	$1,014.01