Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.07 / $825.89 / $1,121.84	Professional		$668.07	$825.89	$1,121.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $79.41 / $79.41	Professional		$79.41	$79.41	$79.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,439.50 / $1,439.50 / $1,439.50	Facility		$1,439.50	$1,439.50	$1,439.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $200.00 / $200.00	Professional		$106.83	$200.00	$200.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.83 / $6,458.74 / $6,694.22	Facility		$2,344.83	$6,458.74	$6,694.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $394.07 / $1,068.06	Facility		$81.05	$394.07	$1,068.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $388.80 / $1,204.58	Professional		$112.66	$388.80	$1,204.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $394.07 / $957.98	Facility		$122.36	$394.07	$957.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $200.00 / $200.00	Professional		$98.81	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.45 / $543.47 / $808.25	Professional		$432.45	$543.47	$808.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $781.38 / $862.69	Professional		$781.38	$781.38	$862.69