Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $818.27 / $1,103.42	Professional		$601.62	$818.27	$1,103.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $395.54 / $456.20	Facility		$117.72	$395.54	$456.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,415.90 / $1,415.90 / $1,415.90	Facility		$1,415.90	$1,415.90	$1,415.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $344.45 / $344.45	Professional		$105.06	$344.45	$344.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,306.28 / $6,352.54 / $6,584.12	Facility		$2,306.28	$6,352.54	$6,584.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $387.63 / $1,050.41	Facility		$84.95	$387.63	$1,050.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $130.26 / $1,184.97	Professional		$110.82	$130.26	$1,184.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $387.63 / $942.25	Facility		$105.38	$387.63	$942.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $344.45 / $344.45	Professional		$100.06	$344.45	$344.45
United Facility/Professional Professional Modifier Low / Median / High Price $460.93 / $571.42 / $795.40	Professional		$460.93	$571.42	$795.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $768.71 / $852.73	Professional		$768.71	$768.71	$852.73