Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $350.81 / $517.36	Professional		$288.77	$350.81	$517.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Professional		$36.61	$36.61	$36.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $663.90 / $663.90 / $663.90	Facility		$663.90	$663.90	$663.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $407.81	Facility		$407.81	$407.81	$407.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $407.81 / $407.81	Professional		$49.27	$407.81	$407.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.49 / $2,978.91 / $3,087.50	Facility		$1,081.49	$2,978.91	$3,087.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $181.71 / $492.45	Facility		$39.83	$181.71	$492.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $66.39 / $483.30	Professional		$51.96	$66.39	$483.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $181.71 / $441.79	Facility		$50.58	$181.71	$441.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $407.81 / $407.81	Professional		$47.24	$407.81	$407.81
United Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $260.44 / $372.77	Professional		$204.80	$260.44	$372.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.42 / $360.42 / $401.14	Professional		$360.42	$360.42	$401.14