Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.32 / $1,060.14 / $1,516.69	Professional		$793.32	$1,060.14	$1,516.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $171.98 / $171.98	Professional		$171.98	$171.98	$171.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,795.40 / $1,795.40 / $1,795.40	Facility		$1,795.40	$1,795.40	$1,795.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $1,767.72	Facility		$504.00	$504.00	$1,767.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $504.00 / $519.12	Professional		$428.40	$504.00	$519.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,567.05 / $9,825.29 / $10,183.48	Facility		$3,567.05	$9,825.29	$10,183.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $607.83 / $1,532.90 / $2,231.00	Facility		$607.83	$1,532.90	$2,231.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $292.44 / $1,673.25	Professional		$179.54	$292.44	$1,673.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $1,276.20 / $2,007.90	Facility		$504.00	$1,276.20	$2,007.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $504.00 / $607.83	Professional		$141.11	$504.00	$607.83
United Facility/Professional Professional Modifier Low / Median / High Price $747.50 / $1,206.80 / $1,693.84	Professional		$747.50	$1,206.80	$1,693.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,221.20 / $1,408.80 / $1,408.80	Professional		$1,221.20	$1,408.80	$1,408.80