Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.47 / $807.64 / $1,089.08	Professional		$564.47	$807.64	$1,089.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Professional		$77.09	$77.09	$77.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,397.60 / $1,397.60 / $1,397.60	Facility		$1,397.60	$1,397.60	$1,397.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $450.00 / $450.00	Professional		$105.60	$450.00	$450.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,317.84 / $6,384.41 / $6,617.18	Facility		$2,317.84	$6,384.41	$6,617.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $389.52 / $1,079.78	Facility		$83.86	$389.52	$1,079.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $384.32 / $1,190.76	Professional		$109.38	$384.32	$1,190.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $389.52 / $1,002.33	Facility		$120.96	$389.52	$1,002.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $450.00 / $450.00	Professional		$97.68	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $528.88 / $798.91	Professional		$439.00	$528.88	$798.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $772.45 / $882.46	Professional		$772.45	$772.45	$882.46