Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.67 / $905.97 / $1,203.46	Professional		$716.67	$905.97	$1,203.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $85.19 / $85.19	Professional		$85.19	$85.19	$85.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,544.20 / $1,544.20 / $1,544.20	Facility		$1,544.20	$1,544.20	$1,544.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $707.88 / $707.88	Professional		$114.60	$707.88	$707.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,515.76 / $6,929.56 / $7,182.19	Facility		$2,515.76	$6,929.56	$7,182.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $422.73 / $1,145.65	Facility		$89.82	$422.73	$1,145.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $417.08 / $1,292.33	Professional		$120.86	$417.08	$1,292.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $422.73 / $1,027.67	Facility		$131.26	$422.73	$1,027.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $707.88	Professional		$109.53	$707.88	$707.88
United Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $622.99 / $851.63	Professional		$502.72	$622.99	$851.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $838.37 / $838.37 / $936.61	Professional		$838.37	$838.37	$936.61