Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.87 / $608.45 / $859.56	Professional		$511.87	$608.45	$859.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $308.14 / $355.40	Facility		$91.71	$308.14	$355.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $60.85 / $60.85	Professional		$60.85	$60.85	$60.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,103.00 / $1,103.00 / $1,103.00	Facility		$1,103.00	$1,103.00	$1,103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $768.75 / $1,233.75	Professional		$75.70	$768.75	$1,233.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,796.70 / $4,948.92 / $5,129.34	Facility		$1,796.70	$4,948.92	$5,129.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $301.95 / $818.58	Facility		$62.11	$301.95	$818.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $297.92 / $923.06	Professional		$86.33	$297.92	$923.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $301.95 / $776.85	Facility		$66.18	$301.95	$776.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $301.95 / $768.75	Professional		$75.70	$301.95	$768.75
United Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $391.96 / $608.25	Professional		$331.37	$391.96	$608.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.82 / $598.82 / $665.46	Professional		$598.82	$598.82	$665.46