Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,258.93	Professional		$602.56	$933.25	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $95.50	Professional		$87.10	$95.50	$95.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,148.15	Facility		$912.01	$912.01	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $933.25	Professional		$758.58	$912.01	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,912.51 / $8,912.51	Facility		$1,479.11	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $912.01 / $1,659.59	Facility		$158.49	$912.01	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,258.93	Professional		$724.44	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,318.26 / $2,398.83	Professional		$104.71	$1,318.26	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,659.59	Facility		$512.86	$1,000.00	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $912.01	Professional		$436.52	$758.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $537.03 / $1,047.13	Facility		$67.61	$537.03	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,148.15	Professional		$616.60	$794.33	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26