Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $823.12 / $1,106.80	Professional		$627.00	$823.12	$1,106.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $396.78 / $457.64	Facility		$118.09	$396.78	$457.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,420.20 / $1,420.20 / $1,420.20	Facility		$1,420.20	$1,420.20	$1,420.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $999.36	Professional		$849.46	$999.36	$999.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $6,372.01 / $6,604.31	Facility		$2,313.35	$6,372.01	$6,604.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $388.85 / $1,053.66	Facility		$79.97	$388.85	$1,053.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $142.02 / $1,188.66	Professional		$111.16	$142.02	$1,188.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $388.85 / $999.36	Facility		$109.83	$388.85	$999.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $999.36 / $999.36	Professional		$109.71	$999.36	$999.36
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $573.16 / $783.45	Professional		$446.68	$573.16	$783.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $771.09 / $856.79	Professional		$771.09	$771.09	$856.79