Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.19 / $702.57 / $947.41	Professional		$564.19	$702.57	$947.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $339.63 / $391.72	Facility		$101.08	$339.63	$391.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,215.70 / $1,215.70 / $1,215.70	Facility		$1,215.70	$1,215.70	$1,215.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $746.73 / $746.73	Professional		$90.22	$746.73	$746.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,980.48 / $5,455.13 / $5,654.02	Facility		$1,980.48	$5,455.13	$5,654.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.94 / $332.82 / $902.21	Facility		$72.94	$332.82	$902.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $121.57 / $955.47	Professional		$95.15	$121.57	$955.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.33 / $332.82 / $809.02	Facility		$103.33	$332.82	$809.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $746.73 / $746.73	Professional		$85.92	$746.73	$746.73
United Facility/Professional Professional Modifier Low / Median / High Price $395.89 / $477.48 / $670.33	Professional		$395.89	$477.48	$670.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $737.77	Professional		$660.00	$660.00	$737.77