Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.42 / $780.35 / $1,062.20	Professional		$558.42	$780.35	$1,062.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $404.17 / $454.00	Facility		$120.29	$404.17	$454.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $80.45 / $80.45	Professional		$72.41	$80.45	$80.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,321.30 / $1,321.30 / $1,321.30	Facility		$1,321.30	$1,321.30	$1,321.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $1,301.14	Facility		$867.37	$867.37	$1,301.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $867.37 / $893.39	Professional		$737.26	$867.37	$893.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $7,230.47 / $7,494.08	Facility		$2,625.00	$7,230.47	$7,494.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.62 / $982.02 / $1,321.30	Facility		$447.62	$982.02	$1,321.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $140.88 / $1,179.38	Professional		$129.62	$140.88	$1,179.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.62 / $867.37 / $1,321.30	Facility		$447.62	$867.37	$1,321.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $867.37 / $890.46	Professional		$103.85	$867.37	$890.46
United Facility/Professional Professional Modifier Low / Median / High Price $550.20 / $689.22 / $994.70	Professional		$550.20	$689.22	$994.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $899.40 / $1,037.47 / $1,037.47	Professional		$899.40	$1,037.47	$1,037.47