Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $295.99 / $397.74	Professional		$223.47	$295.99	$397.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $28.15 / $28.15	Professional		$28.15	$28.15	$28.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $510.40 / $510.40 / $510.40	Facility		$510.40	$510.40	$510.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $497.95	Facility		$172.77	$172.77	$497.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $177.95	Professional		$146.85	$172.77	$177.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.52 / $2,290.40 / $2,373.91	Facility		$831.52	$2,290.40	$2,373.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $248.30 / $383.02	Facility		$51.04	$248.30	$383.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $139.66 / $426.96	Professional		$46.96	$139.66	$426.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $172.77 / $365.14	Facility		$51.04	$172.77	$365.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $172.77	Professional		$36.07	$172.77	$172.77
United Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $211.83 / $310.37	Professional		$172.30	$211.83	$310.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $375.58 / $375.58	Professional		$325.58	$375.58	$375.58