Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $309.94 / $416.92	Professional		$233.50	$309.94	$416.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $28.40 / $28.40	Professional		$28.40	$28.40	$28.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $503.14 / $503.14 / $503.14	Facility		$503.14	$503.14	$503.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $567.42	Facility		$292.50	$292.50	$567.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $439.28	Professional		$248.63	$292.50	$439.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $835.50 / $2,606.76 / $2,664.85	Facility		$835.50	$2,606.76	$2,664.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $360.10 / $503.14	Facility		$162.05	$360.10	$503.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $427.67 / $503.14	Professional		$47.36	$427.67	$503.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $302.18 / $503.14	Facility		$162.05	$302.18	$503.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $418.36	Professional		$248.63	$292.50	$418.36
United Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $273.04 / $360.10	Professional		$198.06	$273.04	$360.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $353.12	Professional		$321.33	$321.33	$353.12