Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.84 / $893.78 / $1,279.43	Professional		$668.84	$893.78	$1,279.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $92.21 / $92.21	Professional		$82.99	$92.21	$92.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,512.60 / $1,512.60 / $1,512.60	Facility		$1,512.60	$1,512.60	$1,512.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $1,490.35	Facility		$642.26	$642.26	$1,490.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $859.03	Professional		$545.91	$642.26	$859.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,004.78 / $8,276.54 / $8,578.26	Facility		$3,004.78	$8,276.54	$8,578.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $1,013.84 / $1,512.60	Facility		$513.41	$1,013.84	$1,512.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $161.66 / $1,467.82	Professional		$139.16	$161.66	$1,467.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $912.74 / $1,512.60	Facility		$513.41	$912.74	$1,512.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $642.26 / $661.53	Professional		$118.88	$642.26	$661.53
United Facility/Professional Professional Modifier Low / Median / High Price $630.20 / $789.84 / $1,140.93	Professional		$630.20	$789.84	$1,140.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,031.51 / $1,189.97 / $1,189.97	Professional		$1,031.51	$1,189.97	$1,189.97