Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.05 / $361.74 / $487.80	Professional		$274.05	$361.74	$487.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $625.92 / $625.92 / $625.92	Facility		$625.92	$625.92	$625.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $610.66	Facility		$353.90	$353.90	$610.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $442.38	Professional		$300.82	$300.82	$442.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.56 / $2,940.40 / $2,973.17	Facility		$1,051.56	$2,940.40	$2,973.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $396.39 / $625.92	Facility		$171.35	$396.39	$625.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $469.45 / $625.92	Professional		$62.59	$469.45	$625.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $353.90 / $625.92	Facility		$171.35	$353.90	$625.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $300.82 / $489.89	Professional		$171.35	$300.82	$489.89
United Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $288.70 / $380.78	Professional		$219.90	$288.70	$380.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.42 / $460.79 / $460.79	Professional		$399.42	$460.79	$460.79