Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $891.25	Professional		$446.68	$660.69	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $134.90	Professional		$114.82	$134.90	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $5,248.07	Facility		$1,047.13	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $309.03 / $851.14	Facility		$107.15	$309.03	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $891.25 / $891.25	Professional		$416.87	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $1,047.13	Professional		$60.26	$104.71	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $309.03 / $851.14	Facility		$69.18	$309.03	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $295.12 / $645.65	Facility		$40.74	$295.12	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $630.96	Professional		$316.23	$416.87	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60