Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.53 / $554.16 / $777.47	Professional		$420.53	$554.16	$777.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $80.39 / $80.39	Professional		$80.39	$80.39	$80.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $944.60 / $944.60 / $944.60	Facility		$944.60	$944.60	$944.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $937.06	Facility		$458.33	$458.33	$937.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.58 / $458.32 / $532.95	Professional		$389.58	$458.32	$532.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,810.19 / $4,986.09 / $5,167.85	Facility		$1,810.19	$4,986.09	$5,167.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $820.43 / $1,093.90	Facility		$268.89	$820.43	$1,093.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $145.72 / $1,256.94	Professional		$94.46	$145.72	$1,256.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $628.60 / $962.60	Facility		$268.89	$628.60	$962.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $458.32 / $472.08	Professional		$82.44	$458.32	$472.08
United Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $683.29 / $1,045.43	Professional		$392.30	$683.29	$1,045.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.78 / $723.07 / $723.07	Professional		$626.78	$723.07	$723.07