Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.72 / $941.75 / $1,325.87	Professional		$704.72	$941.75	$1,325.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $95.35 / $95.35	Professional		$95.35	$95.35	$95.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.20 / $1,621.20 / $1,621.20	Facility		$1,621.20	$1,621.20	$1,621.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $1,570.30	Facility		$902.06	$902.06	$1,570.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $902.06 / $929.12	Professional		$766.75	$902.06	$929.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,088.96 / $8,508.41 / $8,818.61	Facility		$3,088.96	$8,508.41	$8,818.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $1,133.68 / $1,621.20	Facility		$515.16	$1,133.68	$1,621.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $162.19 / $1,472.82	Professional		$149.15	$162.19	$1,472.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $974.19 / $1,621.20	Facility		$515.16	$974.19	$1,621.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $902.06	Professional		$127.42	$902.06	$902.06
United Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $553.36 / $1,168.98	Facility		$68.02	$553.36	$1,168.98
United Facility/Professional Professional Modifier Low / Median / High Price $660.47 / $796.74 / $1,144.81	Professional		$660.47	$796.74	$1,144.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,035.01 / $1,194.02 / $1,194.02	Professional		$1,035.01	$1,194.02	$1,194.02