Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.38 / $792.13 / $1,068.18	Professional		$614.38	$792.13	$1,068.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $75.61 / $75.61	Professional		$75.61	$75.61	$75.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,370.60 / $1,370.60 / $1,370.60	Facility		$1,370.60	$1,370.60	$1,370.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $305.64 / $359.59	Professional		$305.64	$305.64	$359.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,233.01 / $6,150.76 / $6,374.98	Facility		$2,233.01	$6,150.76	$6,374.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $375.26 / $1,016.96	Facility		$78.34	$375.26	$1,016.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $370.24 / $1,147.11	Professional		$107.28	$370.24	$1,147.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $375.26 / $914.77	Facility		$99.74	$375.26	$914.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $305.64 / $375.26	Professional		$107.28	$305.64	$375.26
United Facility/Professional Professional Modifier Low / Median / High Price $461.06 / $537.90 / $756.03	Professional		$461.06	$537.90	$756.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $744.13 / $835.47	Professional		$744.13	$744.13	$835.47