Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $260.97 / $366.13	Professional		$194.76	$260.97	$366.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $26.32 / $26.32	Professional		$24.34	$26.32	$26.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $444.90 / $444.90 / $444.90	Facility		$444.90	$444.90	$444.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $219.78 / $219.78	Facility		$43.40	$219.78	$219.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $186.81 / $219.78	Professional		$186.81	$186.81	$219.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $852.73 / $2,348.81 / $2,434.42	Facility		$852.73	$2,348.81	$2,434.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $233.70 / $369.54	Facility		$44.49	$233.70	$369.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $44.49 / $372.43	Professional		$40.93	$44.49	$372.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $219.78 / $369.54	Facility		$44.49	$219.78	$369.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $186.81 / $372.43	Professional		$141.35	$186.81	$372.43
United Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $219.70 / $314.11	Professional		$157.47	$219.70	$314.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $283.99 / $327.62 / $327.62	Professional		$283.99	$327.62	$327.62